Healthcare Provider Details

I. General information

NPI: 1578780839
Provider Name (Legal Business Name): TRINETTE BAXTER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5662 BUTTERCUP LN
CINCINNATI OH
45239-6707
US

IV. Provider business mailing address

5662 BUTTERCUP LN
CINCINNATI OH
45239-6707
US

V. Phone/Fax

Practice location:
  • Phone: 513-385-2137
  • Fax:
Mailing address:
  • Phone: 513-385-2137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number304563
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number304563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: