Individual
CHRISTA SUE MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 526-2525
Mailing address
436 TOWNSHIP ROAD 1055, PROCTORVILLE, OH 45669-7854
(740) 451-0552
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
295605
OH
163WC0200X
Critical Care Medicine Registered Nurse
Primary
58366
WV
163WC0200X
Critical Care Medicine Registered Nurse
9268405
FL
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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