Individual
AUDREY MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
2341 CARNEGIE AVE APT 103, CLEVELAND, OH 44115-2663
(216) 352-9163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.444970
OH
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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