Individual provider · Type 1 NPI

Mary E. Bassham

Adult Health Nurse Practitioner · Santa Ana, CA

NPI number 1861565012 Active

Practice location

3130 S Harbor Blvd, 250
Santa Ana, CA 92704-6824

Mailing address

10827 Kane Ave
Whittier, CA 90604-1825

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X12387 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1861565012

Mary E. Bassham's National Provider Identifier is 1861565012, issued on Nov 16, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 8, 2007.