Individual
MISTY MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
342 COX BLVD, SHEFFIELD, AL 35660-4020
(256) 383-4473
(256) 381-5232
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6403
(615) 988-2014
(615) 208-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-120108
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326373861
SHOALS PRIMARY CARE, LLC EMPLOYER
AL
Enumeration date
11/01/2016
Last updated
11/09/2021
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