Phillip Bassett

NPI #1003461369 in Fort Wayne, Indiana

Provider Information

NPI Number
1003461369
Entity Type
Individual
Name
Phillip Bassett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 5, 2019
Last Updated
Oct 12, 2022

Practice Location

Address
11141 PARKVIEW PLAZA DR STE 310
State
Indiana
ZIP Code
46845-1714
Phone
(260) 266-8840

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner

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