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Randall Keith Baxter, DNP
Family Nurse Practitioner in Powell, Wyoming
NPI 1609418334

Randall Keith Baxter is a Family Nurse Practitioner based in Powell, WY and is specialized in Family. Randall Keith Baxter practices in Powell, WY and has the professional credentials of DNP. The NPI Number for Randall Keith Baxter is 1609418334 and holds a License No. 44753 (Wyoming).

The current practice location address for Randall Keith Baxter is 777 Avenue H, Powell, WY and can be reached out via phone at 307-754-2267.

Location: 777 Avenue H, Powell, WY, 82435-2260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609418334
Provider Name
Randall Keith Baxter
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
777 Avenue H, Powell, WY, 82435-2260
Phone Number
307-754-2267
Fax Number
Provider Enumeration Date
10/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44753 01 WY WYOMING STATE APRN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
777 Avenue H
City
Powell
State
Wyoming
Zip
82435-2260
Phone Number
307-754-2267
Fax Number
person
Provider Business Mailing Address Details
Address
777 Avenue H
City
Powell
State
Wyoming
Zip
82435-2260
Phone Number
307-754-2267
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
44753 (Wyoming)
Definition
Definition to come...
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