Individual
MS. SUSAN BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1483
(240) 364-2510
Mailing address
PO BOX 2130, GERMANTOWN, MD 20875-2130
(240) 364-2510
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
R098027
MD
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R098027
MD
Other
Enumeration date
01/31/2006
Last updated
12/11/2019
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