| NPI | 1881033439 |
|---|---|
| Former Name | NICOLE BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 202006403NP-PP) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA RN60568890) |
| 363L00000X Nurse Practitioner (Licence: OR 201341028RN) | |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201350111NP) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60579125) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2025-08-07 |