Individual
MICHAELA ANN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CAPRN01596
RI
363LA2200X
Adult Health Nurse Practitioner
RN2302797
MA
Other
Enumeration date
08/04/2015
Last updated
11/27/2019
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