Suzanne Maynard, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NURA373 Issued in AK

Legal business name

SUZANNE MAYNARD, LLC

Practice address

111 W 16TH Ave
Unit 203
Anchorage, AK 99501-5169

Phone

(907) 561-1430

NPI assigned

Aug 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suzanne Maynard, CRNA

Title

Owner/Crna

Phone

(603) 833-0635

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1619420957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080112",
            "telephone_number": "765-284-0493",
            "fax_number": "765-284-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 16TH AVE",
            "address_2": "UNIT 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015169",
            "telephone_number": "907-561-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE MAYNARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/CRNA",
        "authorized_official_telephone_number": "603-833-0635",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "NURA373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulani Noni Sutherland, LPC
• Sherri Lynne Sutherlin, RN
• Jaclyn Sutton Rangel, LPC
• Diedra Sutton, LPN
• Daniel William Suver, MD
• Tajajihan Swales
• Lucinda K Swallow, AUDIOLOGIST
• Melissa Swamidass, M.A. CCC-SLP
• Monika Swan-Armitstead, LMT
• Anthony D Swan

• Certified Registered Nurse Anesthetist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Certified Registered Nurse Anesthetist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.