Doctor Name: | MRS. ESTHER D. BAXAM-SPENCE |
NPI Number: | 1023147196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, CNNP |
License Number: | 26NR06081400 |
Business Practice Address: | 1 Bay Ave Montclair, NJ - 070424837 |
Business Phone Number: | 9734296991 |
Business Fax Number: | |
Mailing Address: | 2828 Croasdaile Dr, DURHAM |
State: | NC |
Postal Code: | 277052505 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | 26NR06081400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |