Individual
MATTHEW CECIL MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP, PMHNP-BC
Contact information
Practice address
2142 W RAILROAD AVE, SHELTON, WA 98584-7813
(360) 358-3039
Mailing address
1601 SULKY DR SE APT D, LACEY, WA 98503-2880
(608) 217-3772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61104712
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP70011789
WA
Other
Enumeration date
08/09/2024
Last updated
07/04/2025
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