Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Walisa K Maynard, MD

Individual provider Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1609906973

Dr. Walisa K Maynard, MD is a Hospice and Palliative Medicine (Internal Medicine) Physician in Fargo, North Dakota. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 239-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 50658 (GA)

Record details

NPI number1609906973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address4040 Hospital West Dr, Austell, GA 30106-8117

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