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NPI Code Detail

MEDICARE: MARIE MICA MAYAN

MEDICARE: MARIE MICA MAYAN
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
1163W00000XRegistered NurseRN9518293MA

General Provider Information

NPI Number : 1467309724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE MICA MAYAN
Provider Business Mailing Address
First Line : 24 TOWER HILL ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-4837
Country : US
Telephone Number : 978-885-9656
Fax Number :
Provider Business Practice Location Address
First Line : 24 TOWER HILL ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-4837
Country : US
Telephone Number : 978-885-9656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2026
Last Update Date : 03/14/2026

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Directions to “ MARIE MICA MAYAN ” Practice Location

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