Individual provider · Type 1 NPI

Charles W. Bascom Iii, NP

Family Nurse Practitioner · Tucson, AZ

NPI number 1487278313 Active

Practice location

2120 W Ina Rd
Tucson, AZ 85741-2694

Mailing address

2600 W Ina Rd Apt 197
Tucson, AZ 85741-2347

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X241529 (AZ)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1487278313

Charles W. Bascom Iii, NP's National Provider Identifier is 1487278313, issued on Jun 6, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tucson, AZ. The record was last updated on Jun 22, 2020.