Provider Demographics
NPI:1033321906
Name:MAYLEE, ROBERT ARTHUR (LPN)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ARTHUR
Last Name:MAYLEE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1739 NEWARK RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2629
Mailing Address - Country:US
Mailing Address - Phone:740-455-9699
Mailing Address - Fax:740-455-2433
Practice Address - Street 1:1739 NEWARK RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2629
Practice Address - Country:US
Practice Address - Phone:740-455-9699
Practice Address - Fax:740-455-2433
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.090782164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse