Provider Demographics
NPI:1689553760
Name:LAXTON, JOAN (RN)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:LAXTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 NANDINA TER
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6188
Mailing Address - Country:US
Mailing Address - Phone:770-880-2784
Mailing Address - Fax:
Practice Address - Street 1:1500 LUKAS LN
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6629
Practice Address - Country:US
Practice Address - Phone:407-971-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9597343163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool