Individual
DANA NICOLE MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 922-3632
Mailing address
60 RAYS RD, HARRISBURG, IL 62946-4470
(618) 499-3075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041303687
IL
163W00000X
Registered Nurse
28153297A
IN
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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