Maynard, Michaela Ann

Maynard, Michaela Ann is an individual health care provider with primary practice located at 1125 N Main St , Providence RI 02904-5739. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Maynard, Michaela Ann can be contacted via phone (401) 793-2928.

Contact Information

Primary practice address
1125 N Main St Providence RI 02904-5739
Phone: (401) 793-2928
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2302797 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CAPRN01596 Rhode Island

Profile Details

NPI number 1083090849
LBN Legal business name Maynard, Michaela Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2015
Last updated Nov 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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