National Provider Identifier

Therese Maynard

Therese Maynard is listed in the NPPES registry with a primary specialty of Registered Nurse in Elmira, NY and a listed phone number of (607) 733-4504.

NPI 1518271931Elmira, NYRegistered Nurse

Profile Overview

NPI
1518271931
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 27, 2010
Last Updated
July 27, 2010

Practice Location

  • 1300 College Ave Ste 3
  • Elmira, NY 14901-1154

Phone: (607) 733-4504

Mailing Address

  • 2380 Switzer Hill RD
  • Beaver Dams, NY 14812-9767

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1518271931
Entity Type
Individual
Last Name
Maynard
First Name
Therese
Mailing Street Address
2380 Switzer Hill RD
Mailing City
Beaver Dams
Mailing State
NY
Mailing ZIP Code
14812-9767
Mailing Country
US
Practice Street Address
1300 College Ave Ste 3
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1154
Practice Country
US
Practice Phone
(607) 733-4504
Enumeration Date
July 27, 2010
Last Updated
July 27, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)