National Provider Identifier
Emily Elizabeth Maytum, FNP
Emily Elizabeth Maytum, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Fredonia, NY and a listed phone number of (716) 673-3131.
Profile Overview
- NPI
- 1427309814
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- September 25, 2012
- Last Updated
- November 17, 2015
Practice Location
- 280 Central Ave
- Lograsso Hall Student Health Center
- Fredonia, NY 14063-1127
Phone: (716) 673-3131
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1427309814
- Entity Type
- Individual
- Last Name
- Maytum
- First Name
- Emily
- Middle Name
- Elizabeth
- Name Prefix
- Mrs.
- Credential
- FNP
- Provider Other Last Name
- Griffith
- Provider Other First Name
- Emily
- Provider Other Middle Name
- Elizabeth
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- FNP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 280 Central Ave
- Mailing Address Line 2
- Lograsso Hall Student Health Center
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1127
- Mailing Country
- US
- Mailing Phone
- (716) 673-3131
- Mailing Fax
- (716) 673-4722
- Practice Street Address
- 280 Central Ave
- Practice Address Line 2
- Lograsso Hall Student Health Center
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1127
- Practice Country
- US
- Practice Phone
- (716) 673-3131
- Practice Fax
- (716) 673-4722
- Enumeration Date
- September 25, 2012
- Last Updated
- November 17, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)