Marie Shyrell Basa, FNP - BC
NPI #1356739767 in Fountain Valley, California
Provider Information
- NPI Number
- 1356739767
- Entity Type
- Individual
- Name
- Marie Shyrell Basa, FNP - BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP - BC
- Enumeration Date
- Jan 7, 2015
- Last Updated
- Mar 9, 2015
Practice Location
- Address
- 15975 HARBOR BLVD
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-1303
- Phone
- (714) 546-6575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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