Individual provider · Type 1 NPI
Michelle Maxon
Family Nurse Practitioner · Rochester, NY
NPI number
1194620062
Active
Practice location
1425 Portland Ave
Rochester, NY 14621-3011
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 360933 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194620062
Michelle Maxon's National Provider Identifier is 1194620062, issued on Oct 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rochester, NY. The record was last updated on Oct 12, 2026.