Individual
CYNTHIA J MAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2570 NW EDENBOWER BLVD, SUITE 100, ROSEBURG, OR 97470-6220
(541) 677-7200
(541) 229-3363
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200350126NP FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022638
—
OR
Enumeration date
02/08/2006
Last updated
01/20/2011
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