Provider Demographics
NPI:1982995932
Name:MAXWELL, MARIAN (RVT)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:RVT
Other - Prefix:
Other - First Name:MARIAN
Other - Middle Name:M
Other - Last Name:SCHMELTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RVT
Mailing Address - Street 1:7 TIFFANY LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-9694
Mailing Address - Country:US
Mailing Address - Phone:812-290-3803
Mailing Address - Fax:
Practice Address - Street 1:7 TIFFANY LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-9694
Practice Address - Country:US
Practice Address - Phone:812-290-3803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
339422471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography