National Provider Identifier

Audrey Rae Mayette, L.P.N.

Audrey Rae Mayette, L.P.N. is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Odessa, NY and a listed phone number of (607) 594-4883.

NPI 1841514940Odessa, NYLicensed Practical Nurse

Profile Overview

NPI
1841514940
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 17, 2010
Last Updated
March 17, 2010

Practice Location

  • 3348 Lisk RD
  • Odessa, NY 14869-9761

Phone: (607) 594-4883

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1841514940
Entity Type
Individual
Last Name
Mayette
First Name
Audrey
Middle Name
Rae
Name Prefix
Mrs.
Credential
L.P.N.
Mailing Street Address
3348 Lisk RD
Mailing City
Odessa
Mailing State
NY
Mailing ZIP Code
14869-9761
Mailing Country
US
Mailing Phone
(607) 594-4883
Practice Street Address
3348 Lisk RD
Practice City
Odessa
Practice State
NY
Practice ZIP Code
14869-9761
Practice Country
US
Practice Phone
(607) 594-4883
Enumeration Date
March 17, 2010
Last Updated
March 17, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)