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Individual

DESSIA J LAXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
(920) 738-5369
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9024
WI
363LA2100X
Acute Care Nurse Practitioner
RN9358795
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9358795
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024699800
FL
01
Z34X2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/27/2017
Last updated
10/11/2024
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