Timothy Maynard
NPI #1942618657 in Ceredo, West Virginia
Provider Information
- NPI Number
- 1942618657
- Entity Type
- Individual
- Name
- Timothy Maynard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 25, 2014
- Last Updated
- Feb 20, 2020
Practice Location
- Address
- 402 C STREET
- City
- Ceredo
- State
- West Virginia
- ZIP Code
- 25507
- Phone
- (304) 908-1204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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