Individual provider · Type 1 NPI

Mary Mavencamp, LPN

Licensed Practical Nurse · Twin Falls, ID

NPI number 1033734470 Active

Practice location

260 2nd Ave E
Twin Falls, ID 83301-6242

Call (208) 732-0959 Map

Fax (208) 732-7480

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X11835 (ID)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1033734470

Mary Mavencamp, LPN's National Provider Identifier is 1033734470, issued on Jun 11, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Twin Falls, ID. The record was last updated on Jun 11, 2020.