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NPI Code Detail

MEDICARE: STEPHANIE KAY BASSLER APRN

MEDICARE:   STEPHANIE KAY BASSLER  APRN
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 PractitionerAPRN1319842FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982675534
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE KAY BASSLER APRN
Provider Business Mailing Address
First Line : 2612 HIGHLANDS VUE PKWY
Second Line :
City : LAKELAND
State : FL
Zip : 33812-5220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1755 N FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33805-3109
Country : US
Telephone Number : 863-680-7490
Fax Number : 866-264-8519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 08/31/2023

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Directions to “ STEPHANIE KAY BASSLER APRN” Practice Location

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