Individual
COURTNEY MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PNP-PC
Contact information
Practice address
4129 N HIGHWAY 67, FLORISSANT, MO 63034-2825
(314) 778-3415
(314) 355-2417
Mailing address
4129 N HIGHWAY 67, FLORISSANT, MO 63034-2825
(314) 778-3415
(314) 355-2417
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2019023979
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2024040090
MO
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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