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Contact Information

SUZANNE MAYNARD, CRNA
22 BRAMHALL ST
DEPT OF ANESTHESIOLOGY
PORTLAND, ME04102
 Phone: 207-662-4562
 Fax: 207-662-6236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SUZANNE MAYNARD · (Female)

NPI Number 1386641355
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 07/05/2005
Last updated 08/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 033739-23
  • NH License # 03373921
  • NH Medicaid 30342549
Hospital affiliation(s)
  • GIFFORD MEDICAL CENTER - (Critical Access)
    44 SOUTH MAIN STREET
    RANDOLPH, VT 05060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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