Doctor Name: | JOAN M MAXFIELD |
NPI Number: | 1073544482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN-C, FNP |
License Number: | 228356 |
Business Practice Address: | 305 Mallard Ln Taylor, TX - 765741208 |
Business Phone Number: | 5123527811 |
Business Fax Number: | 5123524734 |
Mailing Address: | 601a Mallard Ln, TAYLOR |
State: | TX |
Postal Code: | 765741214 |
Phone Number: | 5123527811 |
Fax Number: | 5123524734 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 228356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |