1871163535 NPI number — MRS. PAYTON BRYAN SAHAWNEH BSN, RN

Table of content: MRS. PAYTON BRYAN SAHAWNEH BSN, RN (NPI 1871163535)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871163535 NPI number — MRS. PAYTON BRYAN SAHAWNEH BSN, RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAHAWNEH
Provider First Name:
PAYTON
Provider Middle Name:
BRYAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
BSN, RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRYAN
Provider Other First Name:
PAYTON
Provider Other Middle Name:
REBEKAH
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
BSN, RN, CCRN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1871163535
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/25/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6811 SPANIEL DR UNIT C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPANISH FORT
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36527-3700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6811 SPANIEL DR UNIT C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPANISH FORT
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36527-3700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-610-3993
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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