Individual
DOROTHY WINDES MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30136 SKIPPERS WAY DR, CANYON LAKE, CA 92587-7404
(206) 861-9515
Mailing address
30136 SKIPPERS WAY DR, CANYON LAKE, CA 92587-7404
(206) 861-9515
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95110281
CA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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