Individual
GABRIELLE ELIZABETH MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 SCHUYLKILL MEDICAL PLZ STE 105, POTTSVILLE, PA 17901-3636
(570) 622-4840
(570) 622-7589
Mailing address
100 SCHUYLKILL MEDICAL PLZ STE 105, POTTSVILLE, PA 17901-3636
(570) 624-4840
(570) 622-7589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA062925
PA
363A00000X
Physician Assistant
Primary
OA005914
PA
Other
Enumeration date
02/18/2021
Last updated
09/28/2022
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