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NPI Code Detail

MEDICARE: BETH ANNE BAXTER, RN/CS, LLC

MEDICARE: BETH ANNE BAXTER, RN/CS, LLC
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
1207QA0505XAdult Medicine Physician71000050AIN

General Provider Information

NPI Number : 1588845382
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETH ANNE BAXTER, RN/CS, LLC
Provider Business Mailing Address
First Line : 822 W 1ST ST
Second Line : STE 1
City : BLOOMINGTON
State : IN
Zip : 47403-2384
Country : US
Telephone Number : 812-323-0971
Fax Number :
Provider Business Practice Location Address
First Line : 822 W 1ST ST
Second Line : STE 1
City : BLOOMINGTON
State : IN
Zip : 47403-2384
Country : US
Telephone Number : 812-323-0971
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BETH A BAXTER
Credential : NP
Telephone Number : 812-323-0971
Provider Enumeration Date : 11/20/2007
Last Update Date : 11/20/2007

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Directions to “BETH ANNE BAXTER, RN/CS, LLC ” Practice Location

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