Individual
TAMARA LEA MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18934 N DALE MABRY HWY STE 101, LUTZ, FL 33548-4914
(813) 948-2679
(813) 948-2694
Mailing address
18934 N DALE MABRY HWY STE 101, LUTZ, FL 33548-4914
(813) 948-2679
(813) 948-2694
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11012054
FL
Other
Enumeration date
05/15/2021
Last updated
01/03/2022
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