Individual
SAMANTHA LYNN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
100 BOWMAN DR FL 2, VOORHEES, NJ 08043-9612
(856) 988-6260
Mailing address
6402 RIVERFRONT DR, PALMYRA, NJ 08065-2149
(856) 534-4829
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
26NR17753800
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00780300
NJ
Other
Enumeration date
07/28/2017
Last updated
08/14/2024
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