Doctor Name: | PATRICIA M BAXER |
NPI Number: | 1861619512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30005651 |
Business Practice Address: | Us Dept Of State Med, Sa-1 Washington, DC - 205220001 |
Business Phone Number: | 2026632453 |
Business Fax Number: | |
Mailing Address: | 141 Streamside Ln, NEW BRITAIN |
State: | CT |
Postal Code: | 060521564 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30005651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |