Individual
CHABACANA L MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-5846
(432) 681-3100
(432) 681-3108
Mailing address
2214 GUERRERO ST, LAREDO, TX 78043-2643
(956) 236-9648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP121185
TX
364SF0001X
Family Health Clinical Nurse Specialist
707366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369055401
—
TX
Enumeration date
05/16/2013
Last updated
05/21/2019
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