Mayborne, Patricia

Mayborne, Patricia is an individual health care provider with primary practice located at 1401 N 24Th St Ste 100 , Phoenix AZ 85008-4645. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mayborne, Patricia can be contacted via phone (602) 844-7246.

Contact Information

Primary practice address
1401 N 24Th St Ste 100 Phoenix AZ 85008-4645
Phone: (602) 844-7246
Fax: (602) 759-7246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP9657 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP9657 Arizona

Profile Details

NPI number 1063951614
LBN Legal business name Mayborne, Patricia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2017
Last updated Sep 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063951614 NPPES
Arizona MEDICAID 250048

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