Organization
SUZANNE MAYNARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE MAYNARD CRNA (OWNER/CRNA)
(603) 833-0635
Entity
Organization
Contact information
Practice address
111 W 16TH AVE, UNIT 203, ANCHORAGE, AK 99501-5169
(907) 561-1430
Mailing address
PO BOX 112, MUNCIE, IN 47308-0112
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NURA373
AK
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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