Olivia Southard Mayfield, AGPCNP-BC | |
3015 E Magic View Dr Ste 130, Meridian, ID 83642-3750 | |
(208) 482-5567 | |
(208) 482-5515 |
Full Name | Olivia Southard Mayfield |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 3015 E Magic View Dr Ste 130, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063125672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 74554 (Idaho) | Primary |
Entity Name | Direct Orthopedic Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356769434 PECOS PAC ID: 2163648155 Enrollment ID: O20140729000161 |
Mailing Address | Practice Location Address |
---|---|
Olivia Southard Mayfield, AGPCNP-BC 3843 W Riva Capri St, Meridian, ID 83646-6739 Ph: (520) 488-8568 | Olivia Southard Mayfield, AGPCNP-BC 3015 E Magic View Dr Ste 130, Meridian, ID 83642-3750 Ph: (208) 482-5567 |
Jennifer Lytle, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3280 E Lanark Dr, Meridian, ID 83642 Phone: 208-895-8670 Fax: 208-955-0494 | |
Rachael Marie Knuteson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1948 S Eagle Rd, Meridian, ID 83642 Phone: 208-322-7900 | |
Heidi Ann Fanslow, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6830 N Agrarian Ave, Meridian, ID 83646 Phone: 253-951-8331 | |
Josef Mcguire, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3080 E Gentry Way Ste 210, Meridian, ID 83642 Phone: 208-384-9022 | |
Melanie Maltese, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 S Baltic Pl, Meridian, ID 83642 Phone: 208-887-4872 | |
Michael Pahang, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 N Crestmont Dr, Meridian, ID 83642 Phone: 208-288-4200 Fax: 208-288-4279 | |
Sarah Cheree Johnson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3653 N Locust Grove Rd, Meridian, ID 83646 Phone: 208-302-7300 Fax: 208-302-7355 |