Individual
CHELSEY KEISHA BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
Mailing address
1741 E MICHIGAN ST APT C, EVANSVILLE, IN 47711-6661
(812) 746-3434
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27050680A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2705068A
—
IN
Enumeration date
12/21/2022
Last updated
12/21/2022
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