MEDICARE: MS. VICKI LYNN MAYFIELD LMET RN

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	106H00000X	Marriage & Family Therapist	286	OK
2	163W00000X	Registered Nurse	R0028140	OK

General Provider Information

NPI Number	:	1083633291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VICKI LYNN MAYFIELD LMET RN

Provider Business Mailing Address
First Line	:	5601 N W 72ND
Second Line	:	S 310
City	:	WARR ACRES
State	:	OK
Zip	:	73132
Country	:	US
Telephone Number	:	405-620-4597
Fax Number	:	405-773-4349

Provider Business Practice Location Address
First Line	:	5601 N W 72ND
Second Line	:	S 310
City	:	WARR ACRES
State	:	OK
Zip	:	73132
Country	:	US
Telephone Number	:	405-620-4597
Fax Number	:	405-773-4349

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	09/11/2025

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