Maxwell, Misty

Maxwell, Misty is an sole proprietor health care provider with primary practice located at 342 Cox Blvd , Sheffield AL 35660-4020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maxwell, Misty can be contacted via phone (256) 383-4473.

Contact Information

Primary practice address
342 Cox Blvd Sheffield AL 35660-4020
Fax: (256) 381-5232
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-120108 Alabama

Profile Details

NPI number 1932651478
LBN Legal business name Maxwell, Misty
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2016
Last updated Nov 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932651478 NPPES
Alabama Other 1326373861 SHOALS PRIMARY CARE, LLC EMPLOYER

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