Individual
SHANNON BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
415 W UNION ST, LIGONIER, IN 46767-1260
(574) 265-8382
(574) 971-4264
Mailing address
415 W UNION ST, LIGONIER, IN 46767-1260
(574) 265-8382
(574) 971-4264
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
09000246A
IN
367A00000X
Advanced Practice Midwife
Primary
09000246A
IN
Other
Enumeration date
07/17/2014
Last updated
07/07/2025
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