Individual
BRITTANY R BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
(318) 435-6519
Mailing address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 412-5265
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213935
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14909986
CAQH
LA
05
—
2531760
—
LA
Enumeration date
06/24/2020
Last updated
04/30/2024
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