Individual
ROBERT A MAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1013 N 13TH ST, LAFAYETTE, IN 47904-2011
(765) 428-8888
(765) 428-8889
Mailing address
4252 E 100 S APT 3, KOKOMO, IN 46902-9129
(765) 428-8888
(765) 428-8889
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28168982A
IN
163WC0200X
Critical Care Medicine Registered Nurse
28168982A
IN
163WE0003X
Emergency Registered Nurse
28168982A
IN
163WX1100X
Ophthalmic Registered Nurse
28168982A
IN
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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