Provider Demographics
NPI:1467824359
Name:MAIXNER, MARGARET (ANP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:MAIXNER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:DENKEWALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 521792
Mailing Address - Street 2:
Mailing Address - City:BIG LAKE
Mailing Address - State:AK
Mailing Address - Zip Code:99652-1792
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7593 LARRY'S LANE
Practice Address - Street 2:
Practice Address - City:BIG LAKE
Practice Address - State:AK
Practice Address - Zip Code:99652-1792
Practice Address - Country:US
Practice Address - Phone:919-452-1650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK104778363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily