NPI 1043651623

Kathleen Blake Maynard, NP

Practitioner Family Nurse Practitioner North Conway, NH

Practice location

Address: 3073 White Mountain Hwy Primary Care, Memorial Hospital, North Conway, NH 03860-7101
Phone: (603) 356-5461
Mailing address: 3073 White Mountain Hwy PO Box 5001, North Conway, NH 03860-7101

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 067211-23 (NH)

Other Nurse Practitioner providers in New Hampshire →

Registry record

NPI: 1043651623
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2013
Record last updated: 11 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.