Maynard, Carolyn K.

Maynard, Carolyn K. is an sole proprietor health care provider with primary practice located at 1307 S Cannon Blvd , Kannapolis NC 28083-6232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Maynard, Carolyn K. can be contacted via phone (704) 920-1000.

Contact Information

Primary practice address
1307 S Cannon Blvd Kannapolis NC 28083-6232
Phone: (704) 920-1000
Fax: (704) 920-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 054700 North Carolina

Profile Details

NPI number 1184751331
LBN Legal business name Maynard, Carolyn K.
Credentials PHD FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184751331 NPPES
North Carolina MEDICAID ZF0000099

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