Individual
ANGELA MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 US 60, ASHLAND, KY 41102
(606) 475-0200
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
368773
KY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
368773
KY
Other
Enumeration date
04/22/2024
Last updated
09/24/2024
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