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Individual

CHRISTINA PAYNE MAYO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN BC

Contact information

Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1994
(740) 374-7701
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200700572822
WV
363LF0000X
Family Nurse Practitioner
67671
WV
363LF0000X
Family Nurse Practitioner
Primary
COA.14384-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2857994
OH
05
3810010316
WV
Enumeration date
10/05/2007
Last updated
08/19/2020
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