Maynard, Suzanne

Maynard, Suzanne is an individual health care provider with primary practice located at 22 Bramhall St Dept Of Anesthesiology, Portland ME 04102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Other Service Providers / Specialist. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Maynard, Suzanne can be contacted via phone (207) 662-4562.

Contact Information

Primary practice address
22 Bramhall St Dept Of Anesthesiology Portland ME 04102
Phone: (207) 662-4562
Fax: (207) 662-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 033739-23 New Hampshire
Other Service Providers / Specialist 174400000X 03373921 New Hampshire

Profile Details

NPI number 1386641355
LBN Legal business name Maynard, Suzanne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Aug 28th, 2008 - about 16 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 1386641355 NPPES
New Hampshire MEDICAID 30342549

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