Individual provider · Type 1 NPI

Michaela Ann Maynard, APRN

Adult Health Nurse Practitioner · Providence, RI

NPI number 1083090849 Active

Practice location

1125 N Main St
Providence, RI 02904-5739

Other practice locations

  • 180 Corliss St Ste E2, Providence, RI 02904-2602 · (401) 793-2928
  • 180 Corliss St Ste F, Providence, RI 02904-2602 · (401) 793-4715
  • 180 Corliss St Ste E1, Providence, RI 02904-2602 · (401) 793-2928

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN2302797 (MA)
Adult Health Nurse Practitioner Primary 363LA2200XCAPRN01596 (RI)

Adult Health Nurse Practitioner: Definition to come...

10 other providers at this address

Other adult health nurse practitioner providers in Providence

See all in Providence →

About NPI 1083090849

Michaela Ann Maynard, APRN's National Provider Identifier is 1083090849, issued on Aug 4, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Providence, RI. The record was last updated on Nov 27, 2019.