Individual
LOUISE A BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 11, BOSTON, MA 02115-5724
(617) 355-2063
(617) 730-0288
Mailing address
300 LONGWOOD AVE, FEGAN 11, BOSTON, MA 02115-5724
(617) 355-2063
(617) 730-0288
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
84523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708321
—
MA
Enumeration date
09/16/2006
Last updated
08/27/2007
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