Individual
SALLY REBECCA BASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
702 SW HIGGINS AVE, MISSOULA, MT 59803-1429
(406) 721-9543
Mailing address
154 REVAIS CREEK RD, DIXON, MT 59831-9519
(406) 246-0035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18203
MT
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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