Individual
NANCY BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 S 8TH ST, BRAINERD, MN 56401-3620
(218) 829-3529
Mailing address
21620 BRIARWOOD LN, NISSWA, MN 56468-2353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R95613-8
MN
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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