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
Mailing address6095 Marshalee Dr, Elkridge, MD 21075-6053

Other providers in Elkridge