NPI 1073489951
Maximus Antonio Avila
Practice location
- Address
- 110 Ridge Road, Mandaree, ND 58757-0503
- Phone
- (701) 421-3870
- Mailing address
- PO Box 503, Mandaree, ND 58757-0503
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1073489951
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Oct 2025
- Record last updated
- 16 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.