Individual provider · NPI-1

Lloyda Maxine Rose-Baxter, DNP, ANP, RN-BC, CCM

Nurse Practitioner, Adult Health · Ocoee, FL

NPI number1174870646
StatusActive
Last updated in NPPESOct 24, 2026

Details

NPI
1174870646
Entity type
Individual (NPI-1)
Name
Lloyda Maxine Rose-Baxter
Credential
DNP, ANP, RN-BC, CCM
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2012
Certification date
Oct 24, 2026
Last updated
Oct 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult HealthARNP9180759FLYes
163W00000X Registered NurseRN9180759FL
163WC0400X Registered Nurse, Case Management2011001242FL
163WG0600X Registered Nurse, Gerontology2010010110FL

Practice location

557 Zinfandel Ct
Ocoee, FL 34761-5037

Phone 407-877-7362

Mailing address

557 Zinfandel Ct
Ocoee, FL 34761-5037

Phone 407-765-3130 · Fax 407-877-7362

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