Individual
KIMBERLY ANNE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
260 ROBESON ST, FAYETTEVILLE, NC 28301-5573
(919) 787-7247
Mailing address
3801 WAKE FOREST RD STE 210, RALEIGH, NC 27609-6864
(919) 787-7246
(919) 787-7247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022640
NC
Other
Enumeration date
07/16/2025
Last updated
09/23/2025
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