| NPI | 1558829721 |
|---|---|
| Professional Name | RAVEN SHENETTE MAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL FLAPN559215) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 50-2560) |
| 152W00000X Optometrist (Licence: MA ONA21898) | |
| 156F00000X Technician/Technologist (Licence: CNA92737) | |
| 171000000X Military Health Care Provider (Licence: KY 7-0076) | |
| 171000000X Military Health Care Provider (Licence: DC 50-1454) | |
| 172A00000X Driver (Licence: FL M200-737-79-557-0) | |
| 207P00000X Emergency Medicine (Licence: FL 50-2560) | |
| 207U00000X Nuclear Medicine (Licence: FL 50-2560) | |
| 261Q00000X Clinic/Center (Licence: GA 50-4007) | |
| 332100000X Department of Veterans Affairs (VA) Pharmacy (Licence: FL 50-2560) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner (Licence: CA CEP15022) | |
| 363L00000X Nurse Practitioner (Licence: AL ABNP1418) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2022-07-21 |