# BETH ANNE BAXTER, RN/CS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588845382
- **Authorized official:** BETH A BAXTER NP (PRESIDENT)
- **Authorized official phone:** (812) 323-0971

## Contact information

- **Practice address:** 822 W 1ST ST, STE 1, BLOOMINGTON, IN 47403-2384
- **Practice address phone:** (812) 323-0971
- **Mailing address:** 822 W 1ST ST, STE 1, BLOOMINGTON, IN 47403-2384
- **Mailing address phone:** (812) 323-0971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 71000050A | IN | Yes |

## Other

- **Enumeration date:** 11/20/2007
- **Last updated:** 11/20/2007