Provider Demographics
NPI:1912624875
Name:BAXTER, BRITTANY (CRNA)
Entity Type:Individual
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First Name:BRITTANY
Middle Name:
Last Name:BAXTER
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:233 LAFAYETTE AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5620
Mailing Address - Country:US
Mailing Address - Phone:845-357-5775
Mailing Address - Fax:845-357-5777
Practice Address - Street 1:255 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4812
Practice Address - Country:US
Practice Address - Phone:845-368-5039
Practice Address - Fax:845-368-5327
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2024-02-20
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Provider Licenses
StateLicense IDTaxonomies
FL147661367500000X
NY858805367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered