Basic Information
| Provider Information | |||||||||
| NPI: | 1376818708 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAYLOR | ||||||||
| FirstName: | ANGELIA | ||||||||
| MiddleName: | FAYE | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | MORRILTON | ||||||||
| State: | AR | ||||||||
| PostalCode: | 721104510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013544637 | ||||||||
| FaxNumber: | 5013542248 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | MORRILTON | ||||||||
| State: | AR | ||||||||
| PostalCode: | 721104510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013544637 | ||||||||
| FaxNumber: | 5013542248 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2012 | ||||||||
| LastUpdateDate: | 11/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | A03671 | AR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.