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Torbertha Pannor Maxwell, FNP-C
Family Nurse Practitioner in Marina Del Rey, California
NPI 1467006577

Torbertha Pannor Maxwell is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Torbertha Pannor Maxwell practices in Marina Del Rey, CA and has the professional credentials of FNP-C. The NPI Number for Torbertha Pannor Maxwell is 1467006577 and holds a License No. F04190241 (California).

The current practice location address for Torbertha Pannor Maxwell is 4650 Lincoln Blvd, Marina Del Rey, CA and can be reached out via phone at 310-823-8911.

Location: 4650 Lincoln Blvd, Marina Del Rey, CA, 90045-7604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467006577
Provider Name
Torbertha Pannor Maxwell
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
4650 Lincoln Blvd, Marina Del Rey, CA, 90045-7604
Phone Number
310-823-8911
Fax Number
Provider Enumeration Date
07/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4650 Lincoln Blvd
City
Marina Del Rey
State
California
Zip
90292-6306
Phone Number
310-823-8911
Fax Number
person
Provider Business Mailing Address Details
Address
4650 Lincoln Blvd
City
Marina Del Rey
State
California
Zip
90292-6306
Phone Number
310-823-8911
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F04190241 (California)
Definition
Definition to come...
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