Individual provider · Type 1 NPI

Desiree Maynard

Family Nurse Practitioner · Cincinnati, OH

NPI number 1275419665 Active

Practice location

1 W Corry St
Cincinnati, OH 45219-1901

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X103191 (HI)
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.0040488 (OH)
Registered Nurse 163W00000X95269665 (CA)
Registered Nurse 163W00000X463342 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1275419665

Desiree Maynard's National Provider Identifier is 1275419665, issued on Aug 12, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cincinnati, OH. The record was last updated on Oct 3, 2025.