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

Mrs. Kathleen Blake Maynard, NP

Individual provider Family Nurse Practitioner · NPI 1043651623

Mrs. Kathleen Blake Maynard, NP is a Nurse Practitioner in North Conway, New Hampshire. Qualified in 2013, 13 years ago. Practices with Edward M Kennedy Community Health Center Inc, a 65-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
13
Licensed in
NH
In the registry since
2013
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3073 White Mountain Hwy Primary Care Memorial Hospital
North Conway, NH 03860-7101
Phone: (603) 356-5461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 067211-23 (NH)

Record details

NPI number1043651623
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 11, 2013
Last updated in NPPESJuly 11, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Edward M Kennedy Community Health Center Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Conway