| Randall Keith Baxter, DNP | |
|
777 Avenue H, Powell, WY 82435-2260 | |
| (307) 754-2267 | |
| Not Available |
| Full Name | Randall Keith Baxter |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 777 Avenue H, Powell, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609418334 | NPI | - | NPPES |
| 44753 | Other | WY | WYOMING STATE APRN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 44753 (Wyoming) | Primary |
| Entity Name | Powell Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Keith Baxter, DNP 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 | Randall Keith Baxter, DNP 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 |
Amanda Kay Buffkin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 E 7th St, Powell, WY 82435 Phone: 307-764-4107 | |
Arianne Wilson Mason, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 N Absaroka St, Powell, WY 82435 Phone: 307-764-5470 | |
Cathy A Blanchard, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 | |
Mrs. Darlene V Hauser, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7748 | |
Mrs. Shelby Marie Frost, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 246 N Absaroka St, Powell, WY 82435 Phone: 307-764-5470 Fax: 307-764-5471 | |
Lisa Renee Christen, DNP, A-GNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 N Bent St, Powell, WY 82435 Phone: 307-764-4107 Fax: 307-764-1879 | |
Amanda Bisby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 |