Individual
MS. EMILY ANDERSON BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
Mailing address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200660
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06035893
—
MS
05
—
2349732
—
LA
Enumeration date
11/20/2013
Last updated
02/26/2015
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