Doctor Name: | BRANDY L BAXTER |
NPI Number: | 1104260793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | DX3004 |
Business Practice Address: | 1165 Imperial Dr Ste 300 Hagerstown, MD - 217406556 |
Business Phone Number: | 3016659098 |
Business Fax Number: | 3016659096 |
Mailing Address: | 1165 Imperial Drive Ste 300, FREDERICK |
State: | MD |
Postal Code: | 217039549 |
Phone Number: | 3016659098 |
Fax Number: | 3016659096 |
NPI Enumeration Date: | 04/25/2013 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DX3004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |