Organization
BAXTER BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PATRICK BAXTER PMHPN-BC (OWNER)
(401) 267-4485
Entity
Organization
Contact information
Practice address
1130 TEN ROD RD STE D101, NORTH KINGSTOWN, RI 02852-4161
(401) 267-4485
(401) 267-4534
Mailing address
PO BOX 949, NORTH KINGSTOWN, RI 02852-0610
(401) 267-4485
(401) 267-4534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NPP37892
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972975485
—
RI
Enumeration date
10/30/2015
Last updated
06/05/2024
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