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TAMARA BAXTER ARNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1710331665

Individual Registrant:
 TAMARA  BAXTER ARNP
Gender: F
Sole Proprietor

Location and contact information for practice:
611 ZEAGLER DR  PALATKA, FL 32177-3810 US
Tel: 386-326-8600  Fax: --

Contact information for business:
1508 MOSELEY AVE  PALATKA, FL 32177-5966 US
Tel: 386-972-4273  Fax: --

Registration Information:
NPI: 1710331665
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP9271979

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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