MEDICARE: MISS ALEXANDRIA MAYLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	189376	OH

General Provider Information

NPI Number	:	1083446090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALEXANDRIA MAYLE

Provider Business Mailing Address
First Line	:	1052 LEXINGTON AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-1226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 AKRON PENINSULA RD STE 101E
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-5193
Country	:	US
Telephone Number	:	330-245-7816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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Directions to “ MISS ALEXANDRIA MAYLE ” Practice Location

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