Individual
MS. AMY KIRSTEN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CCCRN, CCNS
Contact information
Practice address
550 OSBORNE RD NE, FRIDLEY, MN 55432-2718
(763) 236-4235
(763) 236-4244
Mailing address
2158 15TH AVE E, NORTH ST PAUL, MN 55109-5125
(612) 309-2397
(763) 236-4244
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R095590-6
MN
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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