-- GEORGIA G MAYNARD -- CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1255361499- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP
- Status
- Active
Contact & Location
- Address
- 2835 FORT MISSOULA ROAD, MISSOULA, MT, 598047408
- Phone
- (406) 721-5600
- Fax
- (406) 721-3907
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: MT #RN8352