Individual
MAXITA M PINAWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2800
(815) 971-9850
Mailing address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2800
(815) 971-9850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006050
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NON PAR
—
IL
Enumeration date
06/15/2006
Last updated
11/30/2012
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