Maxwell, Deadra

Maxwell, Deadra is an individual health care provider with primary practice located at 500 J. Clyde Morris Blvd Riverside Regional Medical Center, Newport News VA 23601-1758. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Maxwell, Deadra can be contacted via phone (757) 594-2000.

Contact Information

Primary practice address
500 J. Clyde Morris Blvd Riverside Regional Medical Center Newport News VA 23601-1758
Phone: (757) 594-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 0001129491 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024171441 Virginia

Profile Details

NPI number 1760811004
LBN Legal business name Maxwell, Deadra
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2013
Last updated Oct 24th, 2017 - about 7 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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