Individual
MICHALYNE LESLIE BASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(253) 985-0905
Mailing address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60270267
WA
Other
Enumeration date
06/13/2012
Last updated
10/05/2022
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