Individual
KATHIE SUE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
201 CEDAR ST SE STE 405, ALBUQUERQUE, NM 87106-4924
(505) 764-9535
(505) 924-7336
Mailing address
201 CEDAR ST SE STE 405, ALBUQUERQUE, NM 87106-4924
(505) 764-9535
(505) 924-7336
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
547
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56639848
—
NM
01
—
797376
MEDICAID
AZ
Enumeration date
07/21/2006
Last updated
08/25/2016
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