Individual
BRIANA MAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
380 CHASE AVE, WALLA WALLA, WA 99362-2924
(509) 897-3050
(509) 897-5899
Mailing address
PO BOX 32, LIBERTY LAKE, WA 99019-0032
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60838552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107015
—
WA
Enumeration date
09/04/2018
Last updated
06/17/2021
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