Healthcare Provider Details

I. General information

NPI: 1952787269
Provider Name (Legal Business Name): NORMAJEAN HARBUR BASILE R.R.T., N.P.S. B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 08/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9048 SUGAR EST SCHNEIDER REGIONAL HEALTH CARE
CHARLOTTE AMALIE VI
00802-3634
US

IV. Provider business mailing address

8168 CROWN BAY MARINA SUITE 505, PMB 212
ST THOMAS VI
00802-5819
US

V. Phone/Fax

Practice location:
  • Phone: 340-776-8311
  • Fax:
Mailing address:
  • Phone: 340-776-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number07025
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: