Mayo, Deborah A.

Mayo, Deborah A. is an individual health care provider with primary practice located at 11414 W Park Pl Ste 202, Milwaukee WI 53224-3500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mayo, Deborah A. can be contacted via phone (414) 292-7060.

Contact Information

Primary practice address
11414 W Park Pl Ste 202 Milwaukee WI 53224-3500
Phone: (414) 292-7060
Fax: (414) 973-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1856 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1856 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1856-033 Wisconsin

Profile Details

NPI number 1386681500
LBN Legal business name Mayo, Deborah A.
Credentials A.P.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Nov 10th, 2016 - about 9 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 1386681500 NPPES
Wisconsin MEDICAID 43981100

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