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

Suzannah Maynard

Individual provider Nurse Practitioner · NPI 1427523331

Suzannah Maynard is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Pentahealth, LLC, a 67-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
9
Licensed in
NJ, PA
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

760 Carpenter Ln
Philadelphia, PA 19119-3406
Phone: (215) 848-6880
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 621 Beverly Rancocas Rd Ste 2d, Willingboro, NJ 08046-3727 — (609) 877-6800
  • 4015 Chichester Ave, Upper Chichester, PA 19061-3138 — (610) 494-4422

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP018890 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ00893400 (NJ)

Record details

NPI number1427523331
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2018
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pentahealth, Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Philadelphia