Gail M. Maynard, LPN

Individual provider Active NPI Licensed Practical Nurse · Holland, NY

NPI 1467775395 · NPPES record last updated Mar 6, 2010

Key facts

NPI
1467775395
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
118250-1 (NY)
Practice address
25 Pearl St
Holland, NY 14080-9722
Phone
(716) 537-9682
NPI assigned
Mar 6, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
118250-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 118250-1 NY Yes

Addresses

Primary practice location

25 Pearl St
Holland, NY 14080-9722

Mailing address

25 Pearl St
Holland, NY 14080-9722
Phone (716) 537-9682

Other providers in Holland, NY

All providers in Holland, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.