Individual
ASHLEY ERIN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-2000
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704290307
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704290307
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704290307
CRNA LICENSE
MI
Enumeration date
11/28/2017
Last updated
05/31/2023
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