Individual
MRS. LAUREN WALL MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2145 HIGHLAND AVE S STE 200, BIRMINGHAM, AL 35205-4015
(205) 933-0230
(205) 933-6400
Mailing address
845 SHADES CREST RD, BIRMINGHAM, AL 35226-1901
(205) 516-5602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-150293
AL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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