Ekaterina Maksimov
Nurse Anesthetist, Certified Registered in Greenville, SC. Individual provider (NPI-1).
NPI number1619658564
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1619658564
- Entity type
- Individual (NPI-1)
- Name
- Ekaterina Maksimov
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2023
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 149140 | SC | Yes |
| 163W00000X | Registered Nurse | 234079 | SC | |
| 367500000X | Nurse Anesthetist, Certified Registered | 28799 | SC | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
701 Grove RdGreenville, SC 29605-4210
Phone 864-455-7000
Mailing address
165 Rushing Waters DrInman, SC 29349-6787
Phone 864-357-7133
Other practice locations
171 Ashley Ave
Charleston, SC 29425-8908
Charleston, SC 29425-8908
Phone 843-792-1414
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Greenville, SC 29615-4569
Phone 864-522-3700 · Fax 864-522-3705
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