Maxwell, Vanessa Bradford
Maxwell, Vanessa Bradford is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maxwell, Vanessa Bradford can be contacted via phone (425) 339-5421.Contact Information
Primary practice address
3927 Rucker Ave
Everett WA 98201-4833
Phone: (425) 339-5421
Fax: (425) 259-1182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN60229600 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4181806 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60319977 | Washington |
Profile Details
| NPI number | 1518201730 |
|---|---|
| LBN Legal business name | Maxwell, Vanessa Bradford |
| Credentials | Master of Science in Nursing (MSN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Apr 22nd, 2026 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518201730 | NPPES |
| Washington | Other | 0316392 | LABOR AND INDUSTRIES |
| Washington | MEDICAID | 2023488 | LABOR AND INDUSTRIES |
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