Mayfield, Olivia Southard

Mayfield, Olivia Southard is an individual health care provider with primary practice located at 3015 E Magic View Dr Ste 130 , Meridian ID 83642-3750. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mayfield, Olivia Southard can be contacted via phone (208) 482-5567.

Contact Information

Primary practice address
3015 E Magic View Dr Ste 130 Meridian ID 83642-3750
Phone: (208) 482-5567
Fax: (208) 482-5515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 74554 Idaho

Profile Details

NPI number 1063125672
LBN Legal business name Mayfield, Olivia Southard
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2022
Last updated Dec 28th, 2022 - about 2 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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