Healthcare Provider Details

I. General information

NPI: 1508167065
Provider Name (Legal Business Name): VANESSA ANN MAYERS HEARING INSRUMENT SP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2010
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2517 B N. MAIN ST
LAS CRUCES NM
88005
US

IV. Provider business mailing address

2517 B N. MAIN ST
LAS CRUCES NM
88005
US

V. Phone/Fax

Practice location:
  • Phone: 575-523-9838
  • Fax: 575-523-9840
Mailing address:
  • Phone: 575-523-9838
  • Fax: 575-523-9840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: