Individual provider · Type 1 NPI
Timothy Maynard
Family Nurse Practitioner · Ceredo, WV
NPI number
1942618657
Active
Practice location
402 C Street
Ceredo, WV 25507
Fax (304) 908-1224
Mailing address
PO Box 1251
Ceredo, WV 25507-1251
Other practice locations
- 303 6th Street West, Suite 7, Ceredo, WV 25507 · (304) 908-1204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3008802 (KY) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Ceredo
About NPI 1942618657
Timothy Maynard's National Provider Identifier is 1942618657, issued on Jul 25, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ceredo, WV. The record was last updated on Mar 26, 2026.