Most Relevant Information
Provider Data
| NPI Number: | 1003230483 |
| Provider Name: | HEATHER MCPHAIL MAYNOR NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5006715 |
Most Important Dates
| Enumeration Date: | 02/06/2014 |
| Last Updated: | 02/06/2014 |
Provider Practice Location
1638 OWEN DR
FAYETTEVILLE
NC
283043424
Practice Location Phone/Fax
| Phone: | 9106155680 |
| Fax: |
Provider Mailing Location
1638 OWEN DR
FAYETTEVILLE
NC
283043424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |