Individual
SUZANNAH MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 CARPENTER LN, PHILADELPHIA, PA 19119-3406
(215) 848-6880
Mailing address
131 E PALMER AVE, COLLINGSWOOD, NJ 08108-1222
(215) 530-4979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00893400
NJ
363L00000X
Nurse Practitioner
Primary
SP018890
PA
Other
Enumeration date
10/06/2018
Last updated
03/17/2023
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