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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVIA SOUTHARD MAYFIELD, AGPCNP-BC

Active

OLIVIA SOUTHARD MAYFIELD, AGPCNP-BC is a Gerontological Nurse Practitioner healthcare provider located in MERIDIAN, Idaho. NPI 1063125672 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · MERIDIAN, ID

Registration Details

NPI Number
1063125672
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2022 (3.5837173780513 yrs)
Last Updated
Dec 28, 2022
License
74554 (ID)

Practice Information

Address
3015 E MAGIC VIEW DR STE 130
MERIDIAN, ID, 836423750
Browse ID providers · Browse ZIP 83642
Phone
2084825567
Fax
2084825515
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in MERIDIAN, ID

Name Credential NPI
LAURA EATON NP-C 1982115309
JULIANNE HOLLIST NP-C 1356976039
EMILY DAWN ANDERSON AGNP 1982359006
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.