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DANIELLE KAY BASSETT NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1912963984
Individual Registrant: DANIELLE KAY BASSETT NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1901 W KETTLEMAN LN SUITE 200 LODI, CA 95242-4337 US
Tel: 209-334-8540 Fax: 209-368-2885
Tel: 209-334-8540 Fax: 209-368-2885
Contact information for business:
PO BOX 241011 LODI, CA 95241-9511 US
Tel: 209-339-7825 Fax: 209-339-7528
Tel: 209-339-7825 Fax: 209-339-7528
Registration Information:
NPI: 1912963984
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CA | NP12643 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RN351008 | CA | 05 |
