Peggy Anne Baxter, RN
Individual provider Active NPI Registered Nurse · Labelle, FL
NPI 1710220694 · NPPES record last updated Mar 29, 2013
Key facts
- NPI
- 1710220694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN663662 (FL)
- Practice address
- 1140 Pratt Blvd
Labelle, FL 33935-4405 - Phone
- (863) 674-4041
- Fax
- (864) 674-4604
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN663662 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN663662 | FL | Yes |
Addresses
Primary practice location
1140 Pratt Blvd
Labelle, FL 33935-4405
Mailing address
1140 Pratt Blvd
Labelle, FL 33935-4405
Phone (863) 674-4041
Other providers in Labelle, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.