Provider Demographics
NPI:1285802389
Name:MAXEY, MARIA MAGDALENA (APRN BC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MAGDALENA
Last Name:MAXEY
Suffix:
Gender:F
Credentials:APRN BC
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Mailing Address - Street 1:29200 SCHOOLCRAFT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2228
Mailing Address - Country:US
Mailing Address - Phone:248-420-5994
Mailing Address - Fax:313-874-9515
Practice Address - Street 1:29200 SCHOOLCRAFT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2228
Practice Address - Country:US
Practice Address - Phone:248-420-5994
Practice Address - Fax:313-874-9515
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704113625363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health