Organization
BETH ANNE BAXTER, RN/CS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A BAXTER NP (PRESIDENT)
(812) 323-0971
Entity
Organization
Contact information
Practice address
822 W 1ST ST, STE 1, BLOOMINGTON, IN 47403-2384
(812) 323-0971
Mailing address
822 W 1ST ST, STE 1, BLOOMINGTON, IN 47403-2384
(812) 323-0971
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
71000050A
IN
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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