Individual
COURTNEY ANN MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, CPNP-AC
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 879-2467
Mailing address
10541 ESTATE DR, EDEN PRAIRIE, MN 55347-4862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN731251
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
08/03/2025
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