Individual
MS. CARLA ANN BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
Mailing address
PO BOX 769, BAYOU LA BATRE, AL 36509-0769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-053425
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261239
—
AL
01
—
512-51218
BCBS
AL
Enumeration date
06/06/2014
Last updated
04/23/2026
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