Individual
MS. ALLYSON MICHELE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
112 W FIRE TOWER RD, WINTERVILLE, NC 28590-9475
(252) 756-3803
Mailing address
PO BOX 34, AYDEN, NC 28513-0034
(252) 258-0392
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
227718
NC
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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