IndividualActive
Walisa Maynard, M.D.
NPI 1609906973 · Hospice and Palliative Medicine (Internal Medicine) Physician · Fargo, ND
Provider details
- NPI number
- 1609906973
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 50658 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 239-3700
Approximate (ZIP-level) locationGet directions
Mailing address
4040 Hospital West Dr
Austell, GA 30106-8117
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.