Healthcare Provider Details

I. General information

NPI: 1457029076
Provider Name (Legal Business Name): ERIN MARIE MAYNARD FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 GROVE NECK RD
EARLEVILLE MD
21919-3008
US

IV. Provider business mailing address

22 MASON LN
NORTH EAST MD
21901-6214
US

V. Phone/Fax

Practice location:
  • Phone: 443-282-1197
  • Fax:
Mailing address:
  • Phone: 443-340-4573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR201428
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberR201418
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: