Individual provider · Type 1 NPI
Salome Mboh Basebang
Family Nurse Practitioner · Mesquite, TX
NPI number
1346738010
Active
Practice location
629 N Town East Blvd Apt 120
Mesquite, TX 75150-8342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 825443 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP142942 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346738010
Salome Mboh Basebang's National Provider Identifier is 1346738010, issued on Apr 27, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesquite, TX. The record was last updated on Apr 13, 2020.