Dennis, Mayra Elaine

Dennis, Mayra Elaine is an individual health care provider with primary practice located at 2215 Nw Shevlin Park Rd Ste 100 , Bend OR 97703-7195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dennis, Mayra Elaine can be contacted via phone (541) 389-7741.

Contact Information

Primary practice address
2215 Nw Shevlin Park Rd Ste 100 Bend OR 97703-7195
Phone: (541) 389-7741
Fax: (541) 278-8375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200250060NP Oregon

Profile Details

NPI number 1316925472
LBN Legal business name Dennis, Mayra Elaine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2006
Last updated May 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316925472 NPPES
Oregon Other 000627 OMAP PERFORMING PROVIDER

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