Individual ProviderMavis Osei YeboahNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(336) 549-6221(855) 247-8474PECOS EnrollmentBased on the most recent information from CMS, provider Mavis Osei Yeboah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1003059478Provider TypeIndividualFull NameYeboah, Mavis OseiCredentialNURSE PRACTITIONERGenderFemaleSole ProprietorNoEnumeration Date4/14/2009Last Updated6/29/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(336) 549-6221FaxUnlisted FaxMailing LocationMailing Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(855) 247-8474FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5004181North CarolinaProvider IdentifiersIDDescriptionIssuerID1003059478DescriptionMedicaidIssuerUnlistedNorth Carolina