Individual provider · Type 1 NPI

Marie Shyrell Basa, FNP - BC

Family Nurse Practitioner · Fountain Valley, CA

NPI number 1356739767 Active

Practice location

15975 Harbor Blvd
Fountain Valley, CA 92708-1303

Call (714) 546-6575 Map

Fax (714) 551-9411

Mailing address

10710 Ashworth Cir
Cerritos, CA 90703-2648

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X673060 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1356739767

Marie Shyrell Basa, FNP - BC's National Provider Identifier is 1356739767, issued on Jan 7, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fountain Valley, CA. The record was last updated on Mar 9, 2015.