Individual provider · Type 1 NPI

Theresa Maxam, FNP-BC, APRN

Family Medicine Physician · Norwalk, CT

NPI number 1053293142 Active

Practice location

618 West Ave
Norwalk, CT 06850-4068

Mailing address

618 West Ave Ste 1
Norwalk, CT 06850-4068

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X12.015053 (CT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1053293142

Theresa Maxam, FNP-BC, APRN's National Provider Identifier is 1053293142, issued on Jul 22, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Norwalk, CT. The record was last updated on Jan 9, 2026.