Provider Demographics
NPI:1578336137
Name:MAXFIELD, AIMEE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:
Last Name:MAXFIELD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 W STRAIGHT ARROW LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-6357
Mailing Address - Country:US
Mailing Address - Phone:757-663-2393
Mailing Address - Fax:
Practice Address - Street 1:1808 W STRAIGHT ARROW LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-6357
Practice Address - Country:US
Practice Address - Phone:757-663-2393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025732363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner