Individual provider · Type 1 NPI
Edwan Tifuh Mayo, FNP-BC
Family Nurse Practitioner · Henrico, VA
NPI number
1508213398
Active
Practice location
1871 Ivystone Ct
Henrico, VA 23238-4213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024173580 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508213398
Edwan Tifuh Mayo, FNP-BC's National Provider Identifier is 1508213398, issued on May 20, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Henrico, VA. The record was last updated on Oct 3, 2024.