Individual
RYAN SCOTT BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 DEACONESS RD, BOSTON, MA 02215-5321
(617) 754-3130
Mailing address
28 QUINT AVE APT 50, ALLSTON, MA 02134-2556
(804) 317-7584
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2317544
MA
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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