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DANIELLE KAY BASSETT NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1912963984

Individual Registrant:
 DANIELLE KAY BASSETT NP
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

Contact information for business:
PO BOX 241011  LODI, CA 95241-9511 US
Tel: 209-339-7825  Fax: 209-339-7528

Registration Information:
NPI: 1912963984
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CANP12643

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RN351008CA05




HEALTH CARE JOBS CA - Page 1



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