Maxwell, Theresa Rene
Maxwell, Theresa Rene is an individual health care provider with primary practice located at 1011 E Saint Maartens Dr , Saint Joseph MO 64506-2993. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maxwell, Theresa Rene can be contacted via phone (816) 232-0185.Contact Information
Primary practice address
1011 E Saint Maartens Dr
Saint Joseph MO 64506-2993
Phone: (816) 232-0185
Fax: (816) 364-6225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 096655 | Missouri |
Profile Details
| NPI number | 1780887109 |
|---|---|
| LBN Legal business name | Maxwell, Theresa Rene |
| Credentials | RN, MSN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2007 |
| Last updated | Sep 25th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780887109 | NPPES |
| Missouri | MEDICAID | 624003109 |
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