Individual
CHRISTINA MARIE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3101B W HIGHWAY 98, PANAMA CITY, FL 32401-1251
(850) 785-1419
Mailing address
3101B W HIGHWAY 98, PANAMA CITY, FL 32401-1251
(850) 624-4947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11002759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11002759
WE DO NOT TAKE MEDICARE
FL
Enumeration date
06/17/2019
Last updated
06/17/2019
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