Individual provider · Type 1 NPI

Phillip Bassett

Nurse Practitioner · Fort Wayne, IN

NPI number 1003461369 Active

Practice location

11141 Parkview Plaza Dr Ste 310
Fort Wayne, IN 46845-1714

Fax (260) 266-8849

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28223705A (IN)
Nurse Practitioner Primary 363L00000X71009275A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003461369

Phillip Bassett's National Provider Identifier is 1003461369, issued on Aug 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 12, 2022.