IndividualActive
Olivia Mayfield, AGPCNP-BC
NPI 1063125672 · Gerontology Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1063125672
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 74554 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3015 E Magic View Dr Ste 130
Meridian, ID 83642-3750
Phone: (208) 482-5567
Fax: (208) 482-5515
Approximate (ZIP-level) locationGet directions
Mailing address
3843 W Riva Capri St
Meridian, ID 83646-6739
Additional practice locations (2)
- 7979 W Rifleman StBoise, ID 83704-9066Phone: (208) 482-5530
- 4842 N Cortona WayMeridian, ID 83646-3171Phone: (208) 579-2024
Registry dates
- Enumerated
- 2022-12-28
- Last updated
- 2022-12-28
- Certified
- 2022-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.