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Search › California › 390200000X

Nicole Maxwell

NPI 1881159507 · on the registry since 2019

Practice

Address
14901 Central Ave
Chino, CA 91710
Phone
(909) 597-1821
Organisation at this address
Cdcr/Cim
California Institue For Men
Inferred from a shared address, not stated in the registry.
Clinicians at this address
66

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California