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Individual

MRS. TRACEYANN R BAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
473 PARK PL APT 1L, BROOKLYN, NY 11238-4623
(718) 230-3868
Mailing address
473 PARK PL APT 1L, BROOKLYN, NY 11238-4623
(718) 230-3868

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420968-1
NY

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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