Individual
MRS. WANDA A MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 SW ARCHER RD, VA HOSPITAL, GERIATRIC CLINIC, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 379-4158
Mailing address
1601 SW ARCHER RD, VA HOSPITAL, GERIATRIC CLINIC, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 379-4158
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
739922
FL
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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