NPI Code Details Logo

NPI 1245940162

NPI 1245940162 : KATE MAYNARD RN : AUGUSTA, ME

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1245940162
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KATE MAYNARD RN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/01/2022
-----------------------------------------------------
    Last Update Date     |    09/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    11 CALDWELL RD 
-----------------------------------------------------
    City                 |    AUGUSTA
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04330-5739
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-213-2037
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    67 EUSTIS PKWY 
-----------------------------------------------------
    City                 |    WATERVILLE
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04901-5173
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-660-4549
-----------------------------------------------------
    Fax                  |    207-660-4529
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163WP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
    License Number       |    RN73082
-----------------------------------------------------
    License Number State |    ME
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.