Alexandra Nicole Dibasilio
NPI #1013640093 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1013640093
- Entity Type
- Individual
- Name
- Alexandra Nicole Dibasilio
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Jul 6, 2022
- Last Updated
- Jul 6, 2022
Practice Location
- Address
- 315 POPE AVE APT 8
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-1383
- Phone
- (410) 960-5206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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