Mayberry, Anita

Mayberry, Anita is an individual health care provider with primary practice located at 409 Drummond Ave , Ridgecrest CA 93555-3120. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Mayberry, Anita can be contacted via phone (760) 371-2128.

Contact Information

Primary practice address
409 Drummond Ave Ridgecrest CA 93555-3120
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 233954 California

Profile Details

NPI number 1194917070
LBN Legal business name Mayberry, Anita
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Dec 20th, 2011 - about 14 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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