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Individual

CHRISTINA LYNNE BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
380 SW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983-1984
(772) 785-8989
Mailing address
380 SW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983-1984
(772) 785-8989

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN9432589
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11027618
FL

Other

Enumeration date
10/28/2021
Last updated
04/15/2025
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