Individual
MRS. VANESSA L BASARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN605353
PA
363L00000X
Nurse Practitioner
Primary
SP018672
PA
Other
Enumeration date
02/07/2018
Last updated
08/30/2020
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