Individual provider · Type 1 NPI
Gabrielle Maynard, NP
Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO
NPI number
1295547230
Active
Practice location
3309 S Kingshighway Blvd
St. Louis, MO 63139-1101
Mailing address
4450 Gibson Ave # 1F
St. Louis, MO 63110-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2025001670 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295547230
Gabrielle Maynard, NP's National Provider Identifier is 1295547230, issued on Jan 27, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on Jan 27, 2025.