Individual
BARBARA A. BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PMHNP-BC
Contact information
Practice address
58 EUCLID ST, WOODBURY, NJ 08096-4626
(856) 628-4504
Mailing address
1220 ROYAL LN, WEST DEPTFORD, NJ 08086-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14955400
NJ
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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