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Mary Mavencamp, LPN
Licensed Practical Nurse in Twin Falls, Idaho
NPI 1033734470

Mary Mavencamp is a Licensed Practical Nurse based in Twin Falls, ID. Mary Mavencamp practices in Twin Falls, ID and has the professional credentials of LPN. The NPI Number for Mary Mavencamp is 1033734470 and holds a License No. 11835 (Idaho).

The current practice location address for Mary Mavencamp is 260 2Nd Ave E, Twin Falls, ID and can be reached out via phone at 208-732-0959 and via fax at 208-732-7480. You can also correspond with Mary Mavencamp through the mailing address at 260 2ND AVE E, TWIN FALLS, ID - 83301-6242 (mailing address contact number: 208-732-0959).

Location: 260 2Nd Ave E, Twin Falls, ID, 83301-6242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033734470
Provider Name
Mary Mavencamp
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
260 2Nd Ave E, Twin Falls, ID, 83301-6242
Phone Number
208-732-0959
Fax Number
208-732-7480
Provider Enumeration Date
06/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
260 2Nd Ave E
City
Twin Falls
State
Idaho
Zip
83301-6242
Phone Number
208-732-0959
Fax Number
208-732-7480
person
Provider Business Mailing Address Details
Address
260 2Nd Ave E
City
Twin Falls
State
Idaho
Zip
83301-6242
Phone Number
208-732-0959
Fax Number
208-732-7480
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
11835 (Idaho)
Definition
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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