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NPI Code Detail

MEDICARE: MS. TINA ANN MAYLE MS, CPNP

MEDICARE: MS. TINA ANN MAYLE MS, CPNP
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
1363LP0200XPediatric Nurse PractitionerAPRN11014108FL
2363LP0200XPediatric Nurse Practitioner843362NV
3363LP0200XPediatric Nurse Practitioner209023789IL
4363LP0200XPediatric Nurse PractitionerGAA-NP001130GA
5363LP0200XPediatric Nurse Practitioner95019517CA
6363LP0200XPediatric Nurse PractitionerCAPN.0003258-C-NPCO
7363LP0200XPediatric Nurse PractitionerAP108995TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548317316
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TINA ANN MAYLE MS, CPNP
Provider Business Mailing Address
First Line : 8300 ESTERS BLVD STE 900
Second Line :
City : IRVING
State : TX
Zip : 75063-2233
Country : US
Telephone Number : 415-424-2666
Fax Number : 415-520-6633
Provider Business Practice Location Address
First Line : 10775 PIONEER TRL STE 215
Second Line :
City : TRUCKEE
State : CA
Zip : 96161-0234
Country : US
Telephone Number : 415-424-4266
Fax Number : 209-370-9034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 05/21/2024

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Directions to “ MS. TINA ANN MAYLE MS, CPNP” Practice Location

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