Individual
KEISHA MONIQUE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 LYNNHAVEN PKWY STE 240, VIRGINIA BEACH, VA 23452-7324
(757) 802-4500
(757) 226-9002
Mailing address
596 LYNNHAVEN PKWY STE 100, VIRGINIA BEACH, VA 23452-7371
(757) 802-4500
(757) 226-9002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024175690
VA
363LF0000X
Family Nurse Practitioner
0024175690
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024175690
VA
Other
Enumeration date
12/07/2017
Last updated
04/19/2024
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