Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illya Payne

Individual provider Family Nurse Practitioner · NPI 1164879904

Illya Payne is a Family Nurse Practitioner in Elkridge, Maryland. Practices as a sole proprietor. Licensed in Missouri and South Carolina.

Licensed in
MO, SC
In the registry since
2016
Specialties on file
2

Practice location Address checks out

6095 Marshalee Dr
Elkridge, MD 21075-6053
Phone: (855) 247-8474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2015027443 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 20164 (SC)

Record details

NPI number1164879904
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2016
Last updated in NPPESMay 23, 2016

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