Healthcare Provider Details

I. General information

NPI: 1235048117
Provider Name (Legal Business Name): HELENA MAYNARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 W PACIFIC AVE APT 408
SPOKANE WA
99201-5859
US

IV. Provider business mailing address

2301 W PACIFIC AVE APT 408
SPOKANE WA
99201-5859
US

V. Phone/Fax

Practice location:
  • Phone: 832-391-1539
  • Fax:
Mailing address:
  • Phone: 832-391-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number70122644
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: