Individual
MRS. ESTHER D. BAXAM-SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNNP
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6991
Mailing address
2828 CROASDAILE DR, DURHAM, NC 27705-2505
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NR06081400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065099
—
NJ
01
—
20-2932173
AETNA
NJ
Enumeration date
03/05/2007
Last updated
04/22/2008
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