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NPI Code Detail

MEDICARE: BOBBIE LINDESE BASSON RN, APRN, FNP

MEDICARE: BOBBIE LINDESE BASSON RN, APRN, FNP
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
1363L00000XNurse Practitioner892453NV
2363LF0000XFamily Nurse Practitioner892453NV

General Provider Information

NPI Number : 1679466189
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBIE LINDESE BASSON RN, APRN, FNP
Provider Business Mailing Address
First Line : 8906 SPANISH RIDGE AVE STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1319
Country : US
Telephone Number : 702-330-3102
Fax Number : 702-912-4994
Provider Business Practice Location Address
First Line : 1934 E SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3842
Country : US
Telephone Number : 702-369-5758
Fax Number : 702-431-1860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 10/17/2025

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