Individual
DANIELLE BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8630
(603) 650-2240
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8630
(603) 650-2240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010022540
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP1927
—
VT
05
—
30344832
—
NH
Enumeration date
10/26/2005
Last updated
12/07/2011
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