Individual
MR. RYAN PATRICK BAXTER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
1130 TEN ROD RD STE D-101, NORTH KINGSTOWN, RI 02852-4161
(401) 267-4485
(401) 267-4534
Mailing address
PO BOX 949, NORTH KINGSTOWN, RI 02852-0610
(401) 267-4485
(401) 267-4534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN01147
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972975845
—
RI
Enumeration date
07/30/2014
Last updated
07/19/2021
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