Healthcare Provider Details

I. General information

NPI: 1346911526
Provider Name (Legal Business Name): MAYA DOLNIK NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6265 ROCK CHALK DR
LAWRENCE KS
66049-5232
US

IV. Provider business mailing address

5000 CLINTON PKWY APT 401
LAWRENCE KS
66047-8928
US

V. Phone/Fax

Practice location:
  • Phone: 913-327-7505
  • Fax: 913-327-7054
Mailing address:
  • Phone: 913-944-1143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number53-80446-052
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-80446-052
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: