MRS. CAROL ALLICIA ANN MAXWELL APRN NPI 1134538168

NPI Information

  • NPI: 1134538168
  • Provider Name: MRS. CAROL ALLICIA ANN MAXWELL, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1035 NIDER BLVD STE 100
    VIRGINIA BEACH, VA
    ZIP 23459
  • Phone: (757) 953-8351

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NPI Details

MRS. Carol Allicia Ann Maxwell, APRN is a family nurse practitioner in Virginia Beach, VA. MRS. Carol Allicia Ann Maxwell, APRN NPI is 1134538168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1035 NIDER BLVD STE 100
VIRGINIA BEACH, VA
ZIP 23459-701
Phone: (757) 953-8351

The NPI 1134538168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2014 and was last updated on 1/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024182777VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100348230 (KOHMG)MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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