Individual
CARISSA RENEE MAXIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11700 STONECREEK CIR, FORT MYERS, FL 33913-9082
(412) 463-9688
Mailing address
11700 STONECREEK CIR, FORT MYERS, FL 33913-9082
(412) 463-9688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9508761
FL
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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