GEORGIA G MAYNARD CPNP
NPI 1255361499
Nurse Practitioner - Pediatrics in Missoula, MT

Q: What is Georgia Maynard's NPI number?

The NPI number for Georgia Maynard is 1255361499. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Georgia Maynard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Georgia Maynard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 04, 2006

2835 FORT MISSOULA ROAD, MISSOULA, MT 59804(406) 721-5600(406) 721-3907 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Georgia G Maynard Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA G MAYNARD CPNP (NPI 1255361499) is an individual pediatrics provider in Missoula, Montana, licensed in Montana (RN8352) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1255361499

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameGEORGIA G MAYNARDCredential: CPNP

Location Address2835 FORT MISSOULA ROADMissoula, MT 59804-7408

Mailing AddressPo Box 7609Missoula, MT 59807-7609 · (406) 721-5600 · Fax (406) 721-3907

Phone(406) 721-5600

Fax(406) 721-3907

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255361499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MT · RN8352

2835 FORT MISSOULA ROAD, Missoula, MT 59804

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Other Identifiers 2

Medicaid0432159MT

Medicare UPINR10596

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE MANKTELOW MD

Surgery (Pediatric Surgery)

2835 FORT MISSOULA ROAD, STE 306 PEDIATRIC SURGERY OF MONTANA
MISSOULA, MT 59804

Missoula County (406) 327-4730

KATHLEEN S ROGERS MD

Pediatrics

2835 FORT MISSOULA ROAD
MISSOULA, MT 59804

Missoula County (406) 721-5600

LINDSAY A RICHARDS MD

Obstetrics & Gynecology

2835 FORT MISSOULA ROAD
MISSOULA, MT 59804

Missoula County (406) 721-5600

ERIC J KRESS MD

Family Medicine

2835 FORT MISSOULA ROAD
MISSOULA, MT 59804

Missoula County (406) 721-5600

KRISTENE A PROVO PAC

Physician Assistant (Medical)

2835 FORT MISSOULA ROAD
MISSOULA, MT 59804

Missoula County (406) 721-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Maynard's NPI number?

The NPI number for Georgia Maynard is 1255361499. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Georgia Maynard located?

Georgia Maynard practices at 2835 Fort Missoula Road, Missoula, MT 59804. The listed phone number is (406) 721-5600.

What is Georgia Maynard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Georgia Maynard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.