Individual provider · Type 1 NPI
Kimberly Anne Maynard, NP
Nurse Practitioner · Fayetteville, NC
Practice location
260 Robeson St
Fayetteville, NC 28301-5573
Mailing address
3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5022640 (NC) |
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…
3 other providers at this address
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About NPI 1376435263
Kimberly Anne Maynard, NP's National Provider Identifier is 1376435263, issued on Jul 16, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 23, 2025.