Individual
MRS. LYTARA TENESHIA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-6169
Mailing address
1101 HEMBY RIDGE LN, MORRISVILLE, NC 27560-6553
(704) 604-0289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
088194
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
490
NC
Other
Enumeration date
11/01/2011
Last updated
09/19/2024
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