MRS. ELSIE LAUREL MAXIN RNP
NPI 1760922371
Nurse Practitioner - Family in Phoenix, AZ
Active since March 01, 2017
About Mrs. Elsie Laurel Maxin Rnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELSIE LAUREL MAXIN RNP (NPI 1760922371) is an individual family provider in Phoenix, Arizona, licensed in Arizona (329691) and active in the NPI registry since March 2017.
NPPES Registry Identity
NPI1760922371
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ELSIE LAUREL MAXINCredential: RNP
Location Address4539 N 22ND ST STE NPhoenix, AZ 85016-4639
Mailing Address4539 N 22nd St Ste NPhoenix, AZ 85016-4639 · (239) 766-0677
Phone(239) 766-0677
Sole ProprietorYes
Enumeration DateMarch 1, 2017
Last NPPES UpdateSeptember 26, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1760922371 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AZ · 329691✔ Licensed in FL · APRN9488439✔ Licensed in PA · SP017235
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9488439 (FL), RN691406 (PA)
4539 N 22ND ST STE N, Phoenix, AZ 85016
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.
Clinic/Center (Adolescent and Children Mental Health)
4539 N 22ND ST STE N
PHOENIX, AZ 85016
PHOENIX, AZ 85016
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760922371, enumerated as an "individual" on March 01, 2017.
The provider is located at 4539 N 22ND ST STE N PHOENIX, AZ 85016 and the phone number is (239) 766-0677.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
