Individual
ELIZABETH BASSITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
529 5TH ST, BROCKTON, MT 59213
(406) 786-3202
(406) 412-2993
Mailing address
24 JAMES ST, WADDINGTON, NY 13694-3103
(607) 262-6240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-233680
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14495500
—
NY
Enumeration date
10/19/2020
Last updated
05/13/2025
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