# MAYO FAMILY HEALTHCARE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770129322
- **Authorized official:** BILLIESUE MAYO NP (OWNER/NP)
- **Authorized official phone:** (208) 318-1619

## Contact information

- **Practice address:** 5826 E FRANKLIN RD, NAMPA, ID 83687-5020
- **Practice address phone:** (208) 318-1619
- **Practice address fax:** (208) 318-1612
- **Mailing address:** 5826 E FRANKLIN RD, NAMPA, ID 83687-5020
- **Mailing address phone:** (208) 318-1619
- **Mailing address fax:** (208) 318-1612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2019
- **Last updated:** 10/31/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1396245742 | — | ID |
| 05 | — | 1770129322 | — | ID |