Individual provider · Type 1 NPI
Mary L. Maxin, R.N., C.D.E.
Diabetes Educator Registered Nurse · Fairfield, CA
NPI number
1477790335
Active
Practice location
2720 Low Ct
Fairfield, CA 94534-9771
Fax (707) 428-2740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 523078 (CA) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1477790335
Mary L. Maxin, R.N., C.D.E.'s National Provider Identifier is 1477790335, issued on Jan 14, 2009. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Fairfield, CA. The record was last updated on Jan 14, 2009.