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Ida Mayaka, FNP
Family Nurse Practitioner in Macon, Georgia
NPI 1578160560

Ida Mayaka is a Family Nurse Practitioner based in Macon, GA and is specialized in Family. Ida Mayaka practices in Macon, GA and has the professional credentials of FNP. The NPI Number for Ida Mayaka is 1578160560 and holds a License No. F07191756 (Georgia).

The current practice location address for Ida Mayaka is 210 Autumn Trace Ct, Macon, GA and can be reached out via phone at 612-308-9012.

Location: 210 Autumn Trace Ct, Macon, GA, 31210-8025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578160560
Provider Name
Ida Mayaka
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
210 Autumn Trace Ct, Macon, GA, 31210-8025
Phone Number
612-308-9012
Fax Number
Provider Enumeration Date
10/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 Autumn Trace Ct
City
Macon
State
Georgia
Zip
31210-8025
Phone Number
612-308-9012
Fax Number
person
Provider Business Mailing Address Details
Address
210 Autumn Trace Ct
City
Macon
State
Georgia
Zip
31210-8025
Phone Number
612-308-9012
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F07191756 (Georgia)
Definition
Definition to come...
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