National Provider Identifier
Maxine Kidder, P.N.P.
Maxine Kidder, P.N.P. is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Lockport, NY and a listed phone number of (716) 433-6711.
Profile Overview
- NPI
- 1124084090
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- April 21, 2006
- Last Updated
- July 08, 2007
Practice Location
- 139 Professional Pkwy
- Lockport, NY 14094-5369
Phone: (716) 433-6711
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1124084090
- Entity Type
- Individual
- Last Name
- Kidder
- First Name
- Maxine
- Credential
- P.N.P.
- Mailing Street Address
- 139 Professional Pkwy
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5369
- Mailing Country
- US
- Mailing Phone
- (716) 433-6711
- Mailing Fax
- (716) 433-0546
- Practice Street Address
- 139 Professional Pkwy
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5369
- Practice Country
- US
- Practice Phone
- (716) 433-6711
- Practice Fax
- (716) 433-0546
- Enumeration Date
- April 21, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 000560073003 (NY, Blue Cross/Blue Shield), 9512424 (NY, Independent Health), 01400724 (NY)