Provider Demographics
NPI:1164765814
Name:MAXWELL, ANNE KRISTIN (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:KRISTIN
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:UNMC DEPARTMENT OF OTOLARYNGOLOGY
Mailing Address - Street 2:981225 NEBRASKA MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-7948
Mailing Address - Country:US
Mailing Address - Phone:402-559-7948
Mailing Address - Fax:402-559-8940
Practice Address - Street 1:4014 LEAVENWORTH ST
Practice Address - Street 2:ENT CLINIC AT LAURIZTEN OUTPATIENT CENTER
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105
Practice Address - Country:US
Practice Address - Phone:402-559-5208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE35309207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology