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NPI Code Detail

MEDICARE: NICOYIA CHANTAE BAXTER

MEDICARE: NICOYIA CHANTAE BAXTER
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
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1780360453
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOYIA CHANTAE BAXTER
Provider Business Mailing Address
First Line : PO BOX 8879
Second Line :
City : ASHEVILLE
State : NC
Zip : 28814-8879
Country : US
Telephone Number : 866-700-1606
Fax Number :
Provider Business Practice Location Address
First Line : 8024 GLENWOOD AVE STE 280
Second Line :
City : RALEIGH
State : NC
Zip : 27612-1952
Country : US
Telephone Number : 866-700-1606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2023
Last Update Date : 03/24/2026

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Directions to “ NICOYIA CHANTAE BAXTER ” Practice Location

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