Individual
BILLIESUE MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
1901 CALDWELL BLVD, NAMPA, ID 83651-1506
(208) 318-1619
(888) 280-0255
Mailing address
1901 CALDWELL BLVD, NAMPA, ID 83651-1506
(208) 318-1619
(888) 280-0255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
57993
ID
363LA2100X
Acute Care Nurse Practitioner
57993
ID
363LA2200X
Adult Health Nurse Practitioner
57993
ID
363LP2300X
Primary Care Nurse Practitioner
Primary
57993
ID
363LW0102X
Women's Health Nurse Practitioner
57993
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396245742
—
ID
05
—
1396245742
—
OR
05
—
1770129322
—
ID
Enumeration date
02/12/2018
Last updated
10/31/2025
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