Maxwell, Ladonna K

Maxwell, Ladonna K is an sole proprietor health care provider with primary practice located at 2300 12Th Ave S Ste 101 , Great Falls MT 59405-5017. 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 / Family is her primary health care specialty. Maxwell, Ladonna K can be contacted via phone (406) 761-5252.

Contact Information

Primary practice address
2300 12Th Ave S Ste 101 Great Falls MT 59405-5017
Phone: (406) 761-5252
Fax: (406) 761-3626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN23096 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN23096 Montana

Profile Details

NPI number 1417037292
LBN Legal business name Maxwell, Ladonna K
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Feb 4th, 2021 - about 3 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 1417037292 NPPES
Montana Other 203274480 TRICARE & COMMERCIAL
Montana Other 000375060 TRICARE & COMMERCIAL
Montana MEDICAID 4306338 TRICARE & COMMERCIAL

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