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MARY MAVENCAMP LPN
NPI 1033734470
Licensed Practical Nurse in Twin Falls, ID

Active since June 11, 2020
260 2ND AVE E, TWIN FALLS, ID 83301(208) 732-0959(208) 732-7480 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Mavencamp Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MAVENCAMP LPN (NPI 1033734470) is an individual licensed practical nurse in Twin Falls, Idaho, licensed in Idaho (11835) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1033734470
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY MAVENCAMPCredential: LPN
Location Address260 2ND AVE ETwin Falls, ID 83301-6242
Mailing Address260 2nd Ave ETwin Falls, ID 83301-6242 · (208) 732-0959 · Fax (208) 732-7480
Phone(208) 732-0959
Fax(208) 732-7480
Sole ProprietorNo
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1033734470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in ID · 11835
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
260 2ND AVE E, Twin Falls, ID 83301
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY KIRK HAZEN LCSW
Social Worker (Clinical)
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0947
MR. ALEX J TUBBS LCSW
Social Worker (Clinical)
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0947
BOISE VAMC
Clinic/Center (VA)
260 2ND AVE E, SUITE 12
TWIN FALLS, ID 83301
Twin Falls County (702) 341-3164
AMBER J SOMERS LPN
Licensed Practical Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
KAREN J JENNINGS
Registered Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
JASON LEE TAYLOR NP-C
Nurse Practitioner (Primary Care)
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
SHANNON MARIE OWEN RN
Registered Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
JACOB MANUEL HERNANDEZ LPN
Licensed Practical Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Mavencamp's NPI number?

The NPI number for Mary Mavencamp is 1033734470. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Mary Mavencamp located?

Mary Mavencamp practices at 260 2nd Ave E, Twin Falls, ID 83301. The listed phone number is (208) 732-0959.

What is Mary Mavencamp's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Mavencamp was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.