MARY L. MAXIN R.N. C.D.E. NPI 1477790335

NPI Information

NPI: 1477790335
Provider Name: MARY L. MAXIN, R.N., C.D.E.
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
2720 LOW CT
FAIRFIELD, CA
ZIP 94534
Phone: (707) 428-2731
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Mary L. Maxin, R.N., C.D.E. is a diabetes educator registered nurse in Fairfield, CA. Mary L. Maxin, R.N., C.D.E. NPI is 1477790335. 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:

2720 LOW CT
FAIRFIELD, CA
ZIP 94534-771
Phone: (707) 428-2731
Fax: (707) 428-2740

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/14/2009.

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
1	163WD0400X	Registered Nurse	Diabetes Educator	523078	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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