Mayle, Tina Ann
Mayle, Tina Ann is an individual health care provider with primary practice located at 10775 Pioneer Trl Ste 215 , Truckee CA 96161-0234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mayle, Tina Ann can be contacted via phone (415) 424-4266.Contact Information
Primary practice address
10775 Pioneer Trl Ste 215
Truckee CA 96161-0234
Phone: (415) 424-4266
Fax: (209) 370-9034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN11014108 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 843362 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209023789 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | GAA-NP001130 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 95019517 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | CAPN.0003258-C-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP108995 | Texas |
Profile Details
| NPI number | 1548317316 |
|---|---|
| LBN Legal business name | Mayle, Tina Ann |
| Credentials | MS, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | May 21st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548317316 | NPPES |
| Texas | MEDICAID | 1548317316 | |
| Texas | MEDICAID | 9000199675 | |
| Texas | MEDICAID | 100247628 | |
| Texas | MEDICAID | 113282800 | |
| Texas | MEDICAID | 250015683 |
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