Individual provider · Type 1 NPI

Sophie Maynard, FNP

Nurse Practitioner · Skokie, IL

NPI number 1154105252 Active

Practice location

9977 Woods Dr
Skokie, IL 60077-1057

Mailing address

4212 N Whipple St
Chicago, IL 60618-2516

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.028140 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154105252

Sophie Maynard, FNP's National Provider Identifier is 1154105252, issued on Aug 21, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Skokie, IL. The record was last updated on Aug 21, 2023.