Individual provider · Type 1 NPI
Susan Basilicato, NP
General Practice Registered Nurse · Medford, OR
NPI number
1265403851
Active
Practice location
1200 Mira Mar Ave
Medford, OR 97504-8546
Mailing address
1208 Beall Ln
Central Point, OR 97502-1573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 07804146RN (OR) |
General Practice Registered Nurse: Definition to come...
23 other providers at this address
- Rogue Valley ManorSkilled Nursing Facility Medford, OR NPI 1639170988
- Rogue Valley Manor, IncInternal Medicine Physician Medford, OR NPI 1780634808
- Allison Jensen, RD, LDRegistered Dietitian Medford, OR NPI 1649816745
- Amy BaumgartPhysical Therapist Medford, OR NPI 1619463817
- Cheryl Ann Smith, RDH-EPDental Hygienist Medford, OR NPI 1861785586
- Christine A. Brokel, FNPNurse Practitioner Medford, OR NPI 1619045705
- Christine Burton Hyatt Boyd, PHYSICAL THERAPISTPhysical Therapist Medford, OR NPI 1700064706
- Erin Tyler Bayne, DPTPhysical Therapist Medford, OR NPI 1205343860
- Hailey Nicole Crawford, PTAPhysical Therapy Assistant Medford, OR NPI 1770460255
- Jon D. Prulhiere, MDInternal Medicine Physician Medford, OR NPI 1700857174
- Jonathan Cash Beran, OTR/LOccupational Therapist Medford, OR NPI 1770424160
- Joshua SteinhoefelPhysical Therapy Assistant Medford, OR NPI 1639697725
Other general practice registered nurse providers in Medford
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.