Provider Demographics
NPI:1447415401
Name:NIMES-MAYES, OFELIA (NP)
Entity Type:Individual
Prefix:MS
First Name:OFELIA
Middle Name:
Last Name:NIMES-MAYES
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1450 MADISON AVE
Mailing Address - Street 2:6TH FLOOR- ELECTROPHYSIOLOGY SERVICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6508
Mailing Address - Country:US
Mailing Address - Phone:212-241-3559
Mailing Address - Fax:212-534-3776
Practice Address - Street 1:1450 MADISON AVE
Practice Address - Street 2:6TH FLOOR- ELECTROPHYSIOLOGY SERVICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6508
Practice Address - Country:US
Practice Address - Phone:212-241-3559
Practice Address - Fax:212-534-2776
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2014-02-24
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Provider Licenses
StateLicense IDTaxonomies
NY302053363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health