Diana Joyce Maxell, FNPC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

193234-4405 Issued in UT

Practice address

6505 Landmark Dr
# 300
Park City, UT 84098-5999

Phone

(435) 615-3914

Fax

(435) 615-3926

NPI assigned

Jul 12, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1861691651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 LANDMARK DR",
            "address_2": "# 300",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985999",
            "telephone_number": "435-615-3914",
            "fax_number": "435-615-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 LANDMARK DR",
            "address_2": "# 300",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985999",
            "telephone_number": "435-615-3914",
            "fax_number": "435-615-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXELL",
        "first_name": "DIANA",
        "middle_name": "JOYCE",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "193234-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Elaine Mastin, R.PH.
• William R. Mathie, PA
• Amanda Rena Matsuura, FNP-C
• Nicole Mattingly
• Alessandra Zimmerman Maw, PA
• Rebekah J May, DPT
• Lynn Carol Maynes, PH.D.
• Allison E Mayzel, PA-C
• Julia McCarrier
• Beth McCarthy, PHARM D

• Women's Health Nurse Practitioner in Park City, UT
• Providers in Park City, UT by specialty
• Women's Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.