TORBERTHA PANNOR MAXWELL FNP-C NPI 1467006577

NPI Information

  • NPI: 1467006577
  • Provider Name: TORBERTHA PANNOR MAXWELL, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4650 LINCOLN BLVD
    MARINA DEL REY, CA
    ZIP 90292
  • Phone: (310) 823-8911

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NPI Details

Torbertha Pannor Maxwell, FNP-C is a family nurse practitioner in Marina Del Rey, CA with 7 years of experience. Torbertha Pannor Maxwell, FNP-C NPI is 1467006577. 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:

4650 LINCOLN BLVD
MARINA DEL REY, CA
ZIP 90292-306
Phone: (310) 823-8911

The NPI 1467006577 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 7/26/2019 and was last updated on 3/18/2022.

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 PractitionerFamilyF04190241CALIFORNIAYes

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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