Provider Demographics
NPI:1407652258
Name:PAYNE, CONSTANCE MICHELLE (MSN, RN)
Entity type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:MICHELLE
Last Name:PAYNE
Suffix:
Gender:
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3880 AFFIRMED DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-3317
Mailing Address - Country:US
Mailing Address - Phone:314-304-1581
Mailing Address - Fax:
Practice Address - Street 1:3880 AFFIRMED DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-3317
Practice Address - Country:US
Practice Address - Phone:314-304-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health