Individual
DANIELLE KAY BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1901 W KETTLEMAN LN, SUITE 200, LODI, CA 95242-4337
(209) 334-8540
(209) 368-2885
Mailing address
PO BOX 241011, LODI, CA 95241-9511
(209) 339-7825
(209) 339-7528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP12643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN351008
—
CA
Enumeration date
04/26/2006
Last updated
12/13/2018
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