Individual
KATHRYN BLAIR BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
15400 W WADDELL RD UNIT 1073, SURPRISE, AZ 85379-5177
(623) 694-8456
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
248039
AZ
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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