| Doctor Name: | WILMA LYNETTE MAYNOR |
| NPI Number: | 1982660627 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | AP04730 |
| Business Practice Address: | 401 11th St Ne Springhill, LA - 710754503 |
| Business Phone Number: | 3185391700 |
| Business Fax Number: | 3185395688 |
| Mailing Address: | 801 Cox Rd, COTTON VALLEY |
| State: | LA |
| Postal Code: | 710183111 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 05/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP04730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |