National Provider Identifier
Latisha A Maxwell, LPN
Latisha A Maxwell, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 563-4486.
Profile Overview
- NPI
- 1548401607
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 18, 2009
- Last Updated
- November 29, 2012
Practice Location
- 43 Military RD
- Buffalo, NY 14207-2834
Phone: (716) 563-4486
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1548401607
- Entity Type
- Individual
- Last Name
- Maxwell
- First Name
- Latisha
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Reynolds
- Provider Other First Name
- Latisha
- Provider Other Middle Name
- A
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 43 Military RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-2834
- Mailing Country
- US
- Mailing Phone
- (716) 563-4486
- Practice Street Address
- 43 Military RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-2834
- Practice Country
- US
- Practice Phone
- (716) 563-4486
- Enumeration Date
- March 18, 2009
- Last Updated
- November 29, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)