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NPI Code Detail

MEDICARE: LAURA A. MAXWELL FNP-BC

MEDICARE: LAURA A. MAXWELL FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3004589KY
2363LF0000XFamily Nurse PractitionerAPN0000013326TN

General Provider Information

NPI Number : 1336152214
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A. MAXWELL FNP-BC
Provider Business Mailing Address
First Line : 1275 DICK LONAS RD UNIT 101
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-1383
Country : US
Telephone Number : 865-584-4747
Fax Number :
Provider Business Practice Location Address
First Line : 1607 WESTGATE CIR STE 200
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-8077
Country : US
Telephone Number : 865-584-4747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 04/16/2026

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Directions to “ LAURA A. MAXWELL FNP-BC” Practice Location

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