Individual
MRS. ALEXANDRA ANTONIA MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
140 NATIVE CIR, BENTON, KY 42025-7167
(270) 227-4968
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3011651
KY
Other
Enumeration date
08/08/2017
Last updated
08/16/2017
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