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Individual

CAROLINE MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-2000
Mailing address
6713 ADAIR DR, AUSTIN, TX 78754-5615
(425) 736-2818

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
967938
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1169894
TX

Other

Enumeration date
05/14/2024
Last updated
07/25/2024
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