| Doctor Name: | MRS. ANITA MAYBERRY |
| NPI Number: | 1194917070 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 233954 |
| Business Practice Address: | 409 Drummond Ave Ridgecrest, CA - 935553120 |
| Business Phone Number: | 7603712128 |
| Business Fax Number: | |
| Mailing Address: | 409 Drummond Ave, RIDGECREST |
| State: | CA |
| Postal Code: | 935553120 |
| Phone Number: | 7603712128 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2007 |
| NPI Last Update Date: | 12/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 233954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |