Individual
PAMELA H MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6939
Mailing address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1317-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43893800
—
WI
01
—
6717
DEAN HEALTH INSURANCE
WI
Enumeration date
05/08/2006
Last updated
08/09/2011
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