Healthcare Provider Details

I. General information

NPI: 1477359149
Provider Name (Legal Business Name): SYLVIA NAH MAYSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2847 59TH ST NW
ROCHESTER MN
55901-8799
US

IV. Provider business mailing address

2847 59TH ST NW
ROCHESTER MN
55901-8799
US

V. Phone/Fax

Practice location:
  • Phone: 507-261-5354
  • Fax:
Mailing address:
  • Phone: 507-261-5354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2482236
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number2482236
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: