| Doctor Name: | MR. SCOTT SPENCER MAYNARD |
| NPI Number: | 1609930916 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N. |
| License Number: | RN35475 |
| Business Practice Address: | 24 Overlook Rd Narragansett, RI - 028821253 |
| Business Phone Number: | 4017889584 |
| Business Fax Number: | |
| Mailing Address: | 24 Overlook Rd, NARRAGANSETT |
| State: | RI |
| Postal Code: | 028821253 |
| Phone Number: | 4017889584 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0500X |
| License Number: | RN35475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Hemodialysis |
| Taxonomy Definition: | |