Susan Basilicato, NP

NPI #1265403851 in Medford, Oregon

Provider Information

NPI Number
1265403851
Entity Type
Individual
Name
Susan Basilicato, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - General Practice
Credential
NP
Enumeration Date
Jan 31, 2006
Last Updated
Nov 26, 2007

Practice Location

Address
1200 MIRA MAR AVE
State
Oregon
ZIP Code
97504-8546
Phone
(541) 664-5151

Specialties & Taxonomy Codes

Specialty
Registered Nurse - General PracticeGeneral Practice

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