Provider Demographics
NPI:1134713688
Name:MAYO, KAREN ALLRED (MSN RN FNP-BC CWON)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ALLRED
Last Name:MAYO
Suffix:
Gender:F
Credentials:MSN RN FNP-BC CWON
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Mailing Address - Street 1:1773 WINCHESTER HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-8188
Mailing Address - Country:US
Mailing Address - Phone:336-953-1889
Mailing Address - Fax:
Practice Address - Street 1:1121 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401
Practice Address - Country:US
Practice Address - Phone:336-953-1889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5013712208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery