Individual
CONNIE MAXWELL-BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 NORWOOD PL, HOLLAND, PA 18966-2910
(609) 558-8629
Mailing address
3450 NORWOOD PL, HOLLAND, PA 18966-2910
(609) 558-8629
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ01165900
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
SP023700
PA
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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