Individual
DIANA JOYCE MAXELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
6505 LANDMARK DR, # 300, PARK CITY, UT 84098-5999
(435) 615-3914
(435) 615-3926
Mailing address
6505 LANDMARK DR, # 300, PARK CITY, UT 84098-5999
(435) 615-3914
(435) 615-3926
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
193234-4405
UT
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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