Individual
GENEVIEVE LORWREN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103
(901) 287-7337
(901) 287-4646
Mailing address
850 POPLAR AVE., BLDG 2, MEMPHIS, TN 38105
(901) 287-6804
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
252428
TN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
29477
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q077149
—
TN
Enumeration date
11/08/2018
Last updated
10/14/2023
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