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NPI Code Detail

MEDICARE: MS. DONNA MARIE MAXWELL CNM

MEDICARE: MS. DONNA MARIE MAXWELL CNM
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
1367A00000XAdvanced Practice MidwifeARNP2691192FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00053316OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
351516112OTHERBCBS

General Provider Information

NPI Number : 1063471605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA MARIE MAXWELL CNM
Provider Business Mailing Address
First Line : 790 VETERANS WAY
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-1000
Country : US
Telephone Number : 850-912-2000
Fax Number : 850-912-2440
Provider Business Practice Location Address
First Line : 790 VETERANS WAY
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-1000
Country : US
Telephone Number : 850-912-2000
Fax Number : 850-912-2440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 01/02/2017

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