MRS. CARYN JO MAXWELL A.N.P.-BC - NPI 1043455447 - Nurse Practitioner in Detroit, MI

Q: What is Caryn Maxwell's NPI number?

The NPI number for Caryn Maxwell is 1043455447. It was assigned to this individual provider in the NPPES registry on December 13, 2008.

Q: What is Caryn Maxwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Caryn Maxwell was last updated on December 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Caryn Jo Maxwell A.n.p.-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CARYN JO MAXWELL A.N.P.-BC (NPI 1043455447) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (4704250909) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1043455447

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. CARYN JO MAXWELLCredential: A.N.P.-BC

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000

Phone(313) 576-1000

Sole ProprietorYes

Enumeration DateDecember 13, 2008

✔ NPI 1043455447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704250909

4646 JOHN R ST, Detroit, MI 48201

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program