Individual
CARLA BASANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., BSN
Contact information
Practice address
650 NEWTOWN PIKE, LEXINGTON, KY 40508-1113
(859) 252-2371
Mailing address
650 NEWTOWN PIKE, LEXINGTON, KY 40508-1113
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
1035535
KY
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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