MARY MAVENCAMP, LPN

Licensed Practical Nurse

Active Individual
NPI: 1033734470

Practice Address

260 2ND AVE E
Twin Falls, ID 83301

Phone: (208) 732-0959

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 11835 (ID)

Frequently Asked Questions

NPI 1033734470 is the National Provider Identifier for MARY MAVENCAMP, LPN, a Licensed Practical Nurse provider located in Twin Falls, ID. This NPI was enumerated on June 11, 2020.
MARY MAVENCAMP, LPN practices at 260 2ND AVE E, Twin Falls, ID 83301.

Quick Facts

NPI
1033734470
Type
Individual
Enumerated
Jun 11, 2020
Last Updated
Jun 11, 2020

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