Provider Demographics
NPI:1013880624
Name:AVELLAR NEVES, MAYRA
Entity type:Individual
Prefix:
First Name:MAYRA
Middle Name:
Last Name:AVELLAR NEVES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMAYE
Other - Middle Name:
Other - Last Name:MIZANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2015 E 25TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-4165
Mailing Address - Country:US
Mailing Address - Phone:510-934-2640
Mailing Address - Fax:
Practice Address - Street 1:2015 E 25TH ST APT 4
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-4165
Practice Address - Country:US
Practice Address - Phone:510-934-2640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty