Individual
ALLISON DAWN BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10085 DOUBLE R BLVD STE 220, RENO, NV 89521-3855
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
831691
NV
363LF0000X
Family Nurse Practitioner
Primary
831691
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14992914
CAQH NUMBER
NV
01
—
831691
NV APRN LICENSE
NV
Enumeration date
10/26/2020
Last updated
12/16/2020
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