Individual
CATHERINE MARIE BASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
944 SLATE DR, BRUNSWICK, OH 44212-6273
(330) 460-0048
Mailing address
944 SLATE DRIVE BRUNSWICK, BRUNSWICK, OH 44212
(330) 460-0048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.127891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN.127891
OHIO BOARD OF NURSING
OH
Enumeration date
07/09/2012
Last updated
07/09/2012
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