MELISSA ANN MAXWELL NPI 1518471192

NPI Information

NPI: 1518471192
Provider Name: MELISSA ANN MAXWELL
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4600 GOER DR STE 201
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 554-1029
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Melissa Ann Maxwell is a family nurse practitioner in North Charleston, SC. Melissa Ann Maxwell NPI is 1518471192. 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:

4600 GOER DR STE 201
NORTH CHARLESTON, SC
ZIP 29406-500
Phone: (843) 554-1029

The NPI 1518471192 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 11/19/2017 and was last updated on 10/2/2018.

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	163WM0705X	Registered Nurse	Medical-Surgical	224494	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	21770	SOUTH CAROLINA	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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