Angella D Bascom A.R.N.P.

NPI 1023182656 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1023182656
Gender Female
Enumeration Date 11/17/2006
Last Updated 04/23/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
67 MAIN ST
MEDWAY MA, 02053-1817, US
Phone (866) 389-2727
Fax
Business Location
67 MAIN ST
MEDWAY MA, 02053-1817, US
Phone (866) 389-2727
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Florida
License Number ARNP9238929
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According to our database, Angella D Bascom A.R.N.P. NPI is 1023182656, taxonomy code is 363LF0000X and license number is ARNP9238929, license state is located at Florida. Angella D Bascom A.R.N.P. physically located at 67 Main St, Medway MA, 02053-1817. NPI Number Angella D Bascom A.R.N.P. has the Individual type.

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1023182656 NPI number is provided on an as is basis without warranty of any kind. 1023182656 is maintained by the National Plan & Provider Enumeration System. The contents of Angella D Bascom A.R.N.P. are for informational purposes only.