Individual
KRISTEN M. MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13425 HOOVER CREEK BLVD STE 100, CHARLOTTE, NC 28273-0170
(704) 316-2080
(704) 316-2085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013372
NC
363LF0000X
Family Nurse Practitioner
23354
SC
Other
Enumeration date
10/27/2019
Last updated
10/27/2020
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