Laxton, Dessia J

Laxton, Dessia J is an individual health care provider with primary practice located at 1818 N Meade St , Appleton WI 54911-3454. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Laxton, Dessia J can be contacted via phone (920) 731-8900.

Contact Information

Primary practice address
1818 N Meade St Appleton WI 54911-3454
Phone: (920) 731-8900
Fax: (920) 738-5369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN9358795 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9358795 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9024 Wisconsin

Profile Details

NPI number 1013454164
LBN Legal business name Laxton, Dessia J
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2017
Last updated Oct 11th, 2024 - about 2 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 1013454164 NPPES
Florida MEDICAID 024699800
Florida Other Z34X2

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