Individual
BRANDI BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1245 S UTICA AVE, SUITE 103, TULSA, OK 74104-4214
(918) 579-3840
(918) 579-3849
Mailing address
1245 S UTICA AVE, SUITE 103, TULSA, OK 74104-4214
(918) 579-3840
(918) 579-3849
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
96038
OK
363LG0600X
Gerontology Nurse Practitioner
96038
OK
Other
Enumeration date
03/26/2014
Last updated
04/14/2016
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