Derek Maynard, SRNA
NPI #1134869589 in Saint Albans, West Virginia
Provider Information
- NPI Number
- 1134869589
- Entity Type
- Individual
- Name
- Derek Maynard, SRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- SRNA
- Enumeration Date
- Mar 31, 2022
- Last Updated
- Jun 3, 2022
Practice Location
- Address
- 2106 SHADYSIDE RD APT D
- City
- Saint Albans
- State
- West Virginia
- ZIP Code
- 25177-3465
- Phone
- (304) 687-5771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Nurse Anesthetist, Certified Registered |
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