Diana Joyce Maxell, FNPC
Nurse Practitioner, Women's Health in Park City, UT. Individual provider (NPI-1).
NPI number1861691651
StatusActive
Last updated in NPPESJul 12, 2007
Details
- NPI
- 1861691651
- Entity type
- Individual (NPI-1)
- Name
- Diana Joyce Maxell
- Credential
- FNPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Jul 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 193234-4405 | UT | Yes |
Practice location
6505 Landmark Dr# 300
Park City, UT 84098-5999
Phone 435-615-3914 · Fax 435-615-3926
Mailing address
6505 Landmark Dr# 300
Park City, UT 84098-5999
Phone 435-615-3914 · Fax 435-615-3926
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