Individual
MRS. LADONNA K MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2300 12TH AVE S STE 101, GREAT FALLS, MT 59405-5017
(406) 761-5252
(406) 761-3626
Mailing address
PO BOX 7167, GREAT FALLS, MT 59406-7167
(406) 761-5252
(406) 761-3626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN23096
MT
363LF0000X
Family Nurse Practitioner
Primary
RN23096
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000375060
BLUE CROSS
MT
01
—
203274480
TRICARE & COMMERCIAL
MT
05
—
4306338
—
MT
Enumeration date
10/16/2006
Last updated
02/04/2021
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