Baxter, Latasha Nicole

Baxter, Latasha Nicole is an individual health care provider with primary practice located at 2121 Medical Park Dr Suite 2, Silver Spring MD 20902-4054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Baxter, Latasha Nicole can be contacted via phone (301) 681-3003.

Contact Information

Primary practice address
2121 Medical Park Dr Suite 2 Silver Spring MD 20902-4054
Phone: (301) 681-3003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R171236 Maryland

Profile Details

NPI number 1497778690
LBN Legal business name Baxter, Latasha Nicole
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 2nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497778690 NPPES
Maryland MEDICAID 1497778690

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