Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edwan Tifuh Mayo, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1508213398

Edwan Tifuh Mayo, FNP-BC is a Nurse Practitioner in Henrico, Virginia. Qualified in 2016, 10 years ago. Practices with Forecast Medical Practice LLC, a 2-clinician group. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1871 Ivystone Ct
Henrico, VA 23238-4213
Phone: (218) 207-8373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024173580 (VA)

Record details

NPI number1508213398
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMay 20, 2016
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Forecast Medical Practice Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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