Individual provider · Type 1 NPI
Maxine Millicent King, NP-C
Nurse Practitioner · Fort Bragg, CA
Practice location
700 River Dr
Fort Bragg, CA 95437-5403
Fax (707) 961-4921
Other practice locations
- 291 Stoner Ave, Westminster, MD 21157-5647 · (410) 871-6400
- 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 · (702) 735-7154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AC003700 (MD) |
| Gerontology Nurse Practitioner | 363LG0600X | AC003700 (MD) |
| Nurse Practitioner Primary | 363L00000X | 95028329 (CA) |
| Nurse Practitioner | 363L00000X | 12634 (CT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1649783754
Maxine Millicent King, NP-C's National Provider Identifier is 1649783754, issued on Nov 10, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Bragg, CA. The record was last updated on Jan 8, 2026.