Individual
FABIENNE BAZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5139 ASH DR, POCONO SUMMIT, PA 18346-7770
(973) 200-3568
Mailing address
5139 ASH DR, POCONO SUMMIT, PA 18346-7770
(973) 200-3568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021793
PA
Other
Enumeration date
04/05/2020
Last updated
04/05/2020
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