Individual provider · Type 1 NPI
Nicole Marie Bassounas, CRNP, FNP-C
Family Nurse Practitioner · Philadelphia, PA
NPI number
1972197069
Active
Practice location
925 Chestnut St Ste 220A
Philadelphia, PA 19107-4248
Mailing address
1527 Pine St Apt 3F
Philadelphia, PA 19102-4643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP023004 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972197069
Nicole Marie Bassounas, CRNP, FNP-C's National Provider Identifier is 1972197069, issued on Mar 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 1, 2021.