| Doctor Name: | MS. DOROTHY ANN MAYES |
| NPI Number: | 1093786840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-C |
| License Number: | R0041036 |
| Business Practice Address: | 1121 Neo Loop Grove, OK - 743440000 |
| Business Phone Number: | 9187868448 |
| Business Fax Number: | 9187863483 |
| Mailing Address: | 1121 Neo Loop, GROVE |
| State: | OK |
| Postal Code: | 743440000 |
| Phone Number: | 9187868448 |
| Fax Number: | 9187863483 |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 09/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R0041036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |