MICHAELA ANN MAYNARD APRN NPI 1083090849

NPI Information

  • NPI: 1083090849
  • Provider Name: MICHAELA ANN MAYNARD, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1125 N MAIN ST
    PROVIDENCE, RI
    ZIP 02904
  • Phone: (401) 793-2928

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NPI Details

Michaela Ann Maynard, APRN is an adult health nurse practitioner in Providence, RI with 10 years of experience. Michaela Ann Maynard, APRN NPI is 1083090849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1125 N MAIN ST
PROVIDENCE, RI
ZIP 02904-739
Phone: (401) 793-2928

The NPI 1083090849 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 11/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthRN2302797MASSACHUSETTSNo
2363LA2200XNurse PractitionerAdult HealthCAPRN01596RHODE ISLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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