NPI 1194367821

Betty E Maxwell, CBRS

Practitioner Community Health Worker Coeur D Alene, ID

Practice location

Address: 2205 N Ironwood Pl STE a, Coeur D Alene, ID 83814-2487
Phone: (208) 664-8347
Fax: (208) 664-9217
Mailing address: PO Box 1387, Hayden, ID 83835-1387

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Idaho →

Registry record

NPI: 1194367821
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2019
Record last updated: 15 Oct 2019

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.