IndividualActive
Adrienne Maynard, DNP, PMHNP BC
NPI 1063559094 · Psychiatric/Mental Health Nurse Practitioner · Salem, OR
Provider details
- NPI number
- 1063559094
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, PMHNP BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 09248 (OH)
Practice location
1245 Edgewater St Nw
Salem, OR 97304-4049
Phone: (503) 588-5816
Fax: (503) 588-5803
Mailing address
1245 Edgewater St Nw
Salem, OR 97304-4049
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2011-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.