Individual
MRS. ELSIE LAUREL MAXIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
4539 N 22ND ST STE N, PHOENIX, AZ 85016-4639
(239) 766-0677
Mailing address
4539 N 22ND ST STE N, PHOENIX, AZ 85016-4639
(239) 766-0677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN691406
PA
163W00000X
Registered Nurse
RN9488439
FL
363LF0000X
Family Nurse Practitioner
Primary
329691
AZ
363LF0000X
Family Nurse Practitioner
APRN9488439
FL
363LF0000X
Family Nurse Practitioner
SP017235
PA
Other
Enumeration date
03/01/2017
Last updated
09/26/2025
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