Mayo, Billiesue
Mayo, Billiesue is an sole proprietor health care provider with primary practice located at 5826 E Franklin Rd , Nampa ID 83687-5020. She recently has 5 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Mayo, Billiesue can be contacted via phone (208) 318-1619.Contact Information
Primary practice address
5826 E Franklin Rd
Nampa ID 83687-5020
Phone: (208) 318-1619
Fax: (208) 318-1612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 57993 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 57993 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 57993 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 57993 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 57993 | Idaho |
Profile Details
| NPI number | 1396245742 |
|---|---|
| LBN Legal business name | Mayo, Billiesue |
| Credentials | AGNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2018 |
| Last updated | Jul 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396245742 | NPPES |
| Idaho | MEDICAID | 1770129322 | |
| Idaho | MEDICAID | 1396245742 | |
| Idaho | MEDICAID | 1396245742 |
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