Individual
EDNA L MAYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 977-4000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
112062
MA
363LF0000X
Family Nurse Practitioner
Primary
112062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373320
—
MA
01
—
NP9985
BLUE CROSS
MA
01
—
PF181
HARVARD PILGRIM
MA
Enumeration date
02/24/2006
Last updated
09/11/2025
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