Search › Missouri › 164W00000X
Gwen Mavis, LPN
NPI 1588063416 · on the registry since 2014 · sole proprietor
Practice
- Address
- 819 S Bus Hwy 13
Lexington, MO 64067 - Phone
- (660) 259-3898
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri