Individual
MS. ADRIENNE J MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP BC
Contact information
Practice address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Mailing address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
09248
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200850148NP
OR
Other
Enumeration date
01/31/2007
Last updated
11/02/2011
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