National Provider Identifier
Tiffany Ruth Maynard, CPNP
Tiffany Ruth Maynard, CPNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-7520.
Profile Overview
- NPI
- 1356926547
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- March 10, 2021
- Last Updated
- July 07, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-7520
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- tmaynard214270@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1356926547
- Entity Type
- Individual
- Last Name
- Maynard
- First Name
- Tiffany
- Middle Name
- Ruth
- Credential
- CPNP
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-7520
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-7520
- Enumeration Date
- March 10, 2021
- Last Updated
- July 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 09, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X), Medical Physician Assistant (363AM0700X)