National Provider Identifier
Trade Maxwell Smith, RN
Trade Maxwell Smith, RN is listed in the NPPES registry with a primary specialty of Critical Care Medicine Registered Nurse in Rochester, NY and a listed phone number of (585) 275-5830.
Profile Overview
- NPI
- 1871283184
- Provider Type
- Individual
- Primary Specialty
- Critical Care Medicine Registered Nurse
- Enumeration Date
- May 10, 2023
- Last Updated
- May 10, 2023
Practice Location
- 110 Crittenden Blvd
- Rochester, NY 14620
Phone: (585) 275-5830
Mailing Address
- 14 Franklin St Apt 207
- Rochester, NY 14604-1500
Specialties
- Critical Care Medicine Registered Nurse (163WC0200X)
Full Record
- NPI
- 1871283184
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Trade
- Middle Name
- Maxwell
- Credential
- RN
- Mailing Street Address
- 14 Franklin St Apt 207
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604-1500
- Mailing Country
- US
- Mailing Phone
- (347) 633-1190
- Practice Street Address
- 110 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 275-5830
- Enumeration Date
- May 10, 2023
- Last Updated
- May 10, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 10, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Critical Care Medicine Registered Nurse (163WC0200X)