Individual provider · Type 1 NPI
Alexandra Nicole Dibasilio
Primary Care Nurse Practitioner · Fort Leavenworth, KS
NPI number
1013640093
Active
Practice location
315 Pope Ave Apt 8
Fort Leavenworth, KS 66027-1383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | R249243 (MD) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1013640093
Alexandra Nicole Dibasilio's National Provider Identifier is 1013640093, issued on Jul 6, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Leavenworth, KS. The record was last updated on Jul 6, 2022.