Individual provider · Type 1 NPI
Tiffany Ruth Maynard, CPNP
Pediatric Nurse Practitioner · Rochester, NY
NPI number
1356926547
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 381789 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381789 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1356926547
Tiffany Ruth Maynard, CPNP's National Provider Identifier is 1356926547, issued on Mar 10, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jul 7, 2023.