Baxter, Bonnie M

Baxter, Bonnie M is an individual health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Baxter, Bonnie M can be contacted via phone (505) 727-0600.

Contact Information

Primary practice address
6701 Jefferson St Ne Albuquerque NM 87109-4318
Phone: (505) 727-0600
Fax: (505) 727-9590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP01179 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP01179 New Mexico

Profile Details

NPI number 1346285095
LBN Legal business name Baxter, Bonnie M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Sep 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346285095 NPPES
New Mexico MEDICAID 80503811
New Mexico Other A031

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