Individual
DARLENE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSN NURSE
Contact information
Practice address
27800 SIDNEY, CUCLID, OH 44132
(216) 731-9103
Mailing address
17705 ROOKHILL CIRCLE, CLEVELAND, OH 44112
(216) 692-3226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN091058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIN2667
—
OH
Enumeration date
11/17/2006
Last updated
07/08/2007
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