MEDICARE: CYNTHIA MICHELLE BAXTER PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10008730	OR
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11007932	FL
3	163W00000X	Registered Nurse	RN3291302	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033732276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA MICHELLE BAXTER PMHNP

Provider Business Mailing Address
First Line	:	381 PALM COAST PKWY SW UNIT 2
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4782
Country	:	US
Telephone Number	:	386-232-8089
Fax Number	:

Provider Business Practice Location Address
First Line	:	381 PALM COAST PKWY SW UNIT 2
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4782
Country	:	US
Telephone Number	:	386-232-8089
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2020
Last Update Date	:	11/06/2025

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