Individual provider · Type 1 NPI

Susan Basilicato, NP

General Practice Registered Nurse · Medford, OR

NPI number 1265403851 Active

About NPI 1265403851

Susan Basilicato, NP's National Provider Identifier is 1265403851, issued on Jan 31, 2006. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Medford, OR. The record was last updated on Nov 26, 2007.