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Individual

SHAVONNE MAXIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
431 GRANT AVE, DOWNINGTOWN, PA 19335-3013
(610) 470-5711

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
700451
PA
163WH1000X
Hospice Registered Nurse
700451
PA
163WP0000X
Pain Management Registered Nurse
700451
PA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
700451
PA

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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