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Timothy Maynard

NPI 1942618657 · on the registry since 2014

Practice

Address: 402 C Street
Ceredo, WV 25507
Phone: (304) 908-1204
Fax: (304) 908-1224
Organisation at this address: Integrated Psychiatric Care Llc
Oncall Health And Aesthetic Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Additional practice sites

303 6th Street West, Ceredo, WV

Registry record

Primary taxonomy: Family Nurse Practitioner
363LF0000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia