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Individual
VANESSA BRADFORD MAXWELL
Active
Individual
VANESSA BRADFORD MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60319977
WA
363L00000X
Nurse Practitioner
Primary
MM2755607
WA
363L00000X
Nurse Practitioner
RN60229600
WA
363LF0000X
Family Nurse Practitioner
4181806
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0316392
LABOR AND INDUSTRIES
WA
05
—
2023488
—
WA
Enumeration date
11/15/2012
Last updated
04/22/2026
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