Individual
MRS. LATASHA NICOLE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2121 MEDICAL PARK DR, SUITE 2, SILVER SPRING, MD 20902-4054
(301) 681-3003
Mailing address
11312 BIG HORN CT, BELTSVILLE, MD 20705-1428
(716) 310-5495
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R171236
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497778690
—
MD
Enumeration date
07/26/2006
Last updated
06/27/2025
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