Individual
MARY J BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 328-3000
Mailing address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 328-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
110426
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47070592300
—
NE
05
—
47070592301
—
NE
05
—
47070592302
—
NE
05
—
47070592305
—
NE
05
—
47070592306
—
NE
05
—
47070592313
—
NE
Enumeration date
10/04/2006
Last updated
03/25/2009
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