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NPI Code Detail

MEDICARE: MRS. MARIANNE BASSI NP

MEDICARE: MRS. MARIANNE BASSI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner16167CA
2163WS0200XSchool Registered Nurse319725CA

General Provider Information

NPI Number : 1376862102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIANNE BASSI NP
Provider Business Mailing Address
First Line : 101 OAK HILL DR
Second Line :
City : LOMPOC
State : CA
Zip : 93436-1118
Country : US
Telephone Number : 805-733-0552
Fax Number :
Provider Business Practice Location Address
First Line : 1301 N A ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-3516
Country : US
Telephone Number : 805-742-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2010
Last Update Date : 06/03/2019

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