Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Baxter

Individual provider Licensed Practical Nurse · NPI 1073320388

Shannon Baxter is a Licensed Practical Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

6424 18th Ave
Brooklyn, NY 11204-3729
Phone: (212) 687-7464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 347888 (NY)

Record details

NPI number1073320388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2024
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address242 Spring St Apt 306, Paterson, NJ 07503-3041

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