National Provider Identifier
Elizabeth Varland Maxwell, PA
Elizabeth Varland Maxwell, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1073895215
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- September 14, 2011
- Last Updated
- March 07, 2023
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1073895215
- Entity Type
- Individual
- Last Name
- Maxwell
- First Name
- Elizabeth
- Middle Name
- Varland
- Credential
- PA
- Provider Other Last Name
- Varland
- Provider Other First Name
- Elizabeth
- Provider Other Middle Name
- A
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0553
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- September 14, 2011
- Last Updated
- March 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 12371645 (NY, Caqh), 03457178 (NY)