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NPI Code Detail

MEDICARE: VICTORIA BAXTER CNP

MEDICARE: VICTORIA BAXTER CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN2301184MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN2301184OTHERMALICENSE

General Provider Information

NPI Number : 1720621873
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA BAXTER CNP
Provider Business Mailing Address
First Line : 360 MERRIMACK ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-1740
Country : US
Telephone Number : 978-557-8800
Fax Number : 978-557-8633
Provider Business Practice Location Address
First Line : 360 MERRIMACK ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-1740
Country : US
Telephone Number : 978-557-8800
Fax Number : 978-557-8633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2019
Last Update Date : 02/12/2026

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Directions to “ VICTORIA BAXTER CNP” Practice Location

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