person
Timothy Maynard
Family Nurse Practitioner in Ceredo, West Virginia
NPI 1942618657

Timothy Maynard is a Family Nurse Practitioner based in Barboursville, WV and is specialized in Family. Timothy Maynard practices in Ceredo, WV. The NPI Number for Timothy Maynard is 1942618657 and holds a License No. 3008802 (West Virginia).

The current practice location address for Timothy Maynard is 402 C Street, Ceredo, WV and can be reached out via phone at 304-908-1204 and via fax at 304-908-1224.

Location: 402 C Street, Ceredo, WV, 25504-4100
person
Provider Profile Details
NPI Number
1942618657
Provider Name
Timothy Maynard
Credential
Provider Entity Type
Individual
Gender
Male
Address
402 C Street, Ceredo, WV, 25504-4100
Phone Number
304-908-1204
Fax Number
304-908-1224
Provider Enumeration Date
07/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
402 C Street
City
State
Zip
25507
Phone Number
304-908-1204
Fax Number
304-908-1224
person
Provider Business Mailing Address Details
Address
402 C Street
City
State
Zip
25507
Phone Number
304-908-1204
Fax Number
304-908-1224
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3008802 (Kentucky)
Definition
Definition to come...
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