Provider Demographics
NPI:1104421627
Name:MAXEY, CLAIRE RYDEN (CNP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:RYDEN
Last Name:MAXEY
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:RYDEN
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:255 NW MONTEGO CT
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-2908
Mailing Address - Country:US
Mailing Address - Phone:515-664-7002
Mailing Address - Fax:
Practice Address - Street 1:1221 PLEASANT ST STE 200
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1424
Practice Address - Country:US
Practice Address - Phone:515-241-8221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7858363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner