GWEN M MAVIS LPN
NPI 1588063416
Licensed Practical Nurse in Lexington, MO

Q: What is Gwen Mavis's NPI number?

The NPI number for Gwen Mavis is 1588063416. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Q: What is Gwen Mavis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gwen Mavis was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 15, 2014

819 S BUS HWY 13, LEXINGTON, MO 64067(660) 259-3898 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Gwen M Mavis Lpn NPPES

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

GWEN M MAVIS LPN (NPI 1588063416) is an individual licensed practical nurse in Lexington, Missouri, licensed in Missouri (16W00000X) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1588063416

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameGWEN M MAVISCredential: LPN

Location Address819 S BUS HWY 13Lexington, MO 64067-1515

Mailing Address14223 Highway UOdessa, MO 64076-6467 · (608) 343-8808

Phone(660) 259-3898

Sole ProprietorYes

Enumeration DateAugust 15, 2014

✔ NPI 1588063416 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 MO · 16W00000X

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.

819 S BUS HWY 13, Lexington, MO 64067

Open in Google Maps ↗

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 Gwen Mavis's NPI number?

The NPI number for Gwen Mavis is 1588063416. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Gwen Mavis located?

Gwen Mavis practices at 819 S Bus Hwy 13, Lexington, MO 64067. The listed phone number is (660) 259-3898.

What is Gwen Mavis'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 Gwen Mavis was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.