Provider Demographics
NPI:1790958866
Name:MAINES, JOY MARIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:MARIE
Last Name:MAINES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GLOBE
Mailing Address - State:AZ
Mailing Address - Zip Code:85501-2503
Mailing Address - Country:US
Mailing Address - Phone:928-425-8200
Mailing Address - Fax:928-425-8406
Practice Address - Street 1:285 N BROAD ST
Practice Address - Street 2:
Practice Address - City:GLOBE
Practice Address - State:AZ
Practice Address - Zip Code:85501-2503
Practice Address - Country:US
Practice Address - Phone:928-425-8200
Practice Address - Fax:928-425-8406
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3815363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ122589Medicare PIN