Ilona Evelyn Maxon, ANP-B.C.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704244783 Issued in MI

Practice address

4201 Saint Antoine St
Uhc-4a
Detroit, MI 48201-2153

Phone

(313) 745-4872

Fax

(313) 745-0937

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1861650921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UHC-4A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UHC-4A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4872",
            "fax_number": "313-745-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXON",
        "first_name": "ILONA",
        "middle_name": "EVELYN",
        "credential": "ANP-B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704244783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Mawari, PHARMD
• Chama Paulina Maweja, LLMSW
• Munif N Mawri
• Maxem Health Urgent Care Warren
• Alicia Irene Maximuk
• Lora Diane Maxson, LLPC
• Jennifer Maxwell Manglik
• Ann Maxwell
• Caryn Jo Maxwell, A.N.P.-BC
• Cassandra Maxwell, LBSW

• Primary Care Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.