Individual
ANNE N MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4200 BECKNER RD, SANTA FE, NM 87507-3774
(505) 477-2200
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2025-0072
NM
363AM0700X
Medical Physician Assistant
Primary
2674
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61091
DEAN HEALTH INSURANCE
WI
Enumeration date
10/13/2010
Last updated
04/10/2026
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