Individual
BEVERLY BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 552-6100
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 224-1690
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A01488
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
AR
Enumeration date
10/13/2006
Last updated
03/04/2025
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