Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN BASILICATO, NP
ActiveSUSAN BASILICATO, NP is a General Practice Nurse healthcare provider located in MEDFORD, Oregon. NPI 1265403851 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · MEDFORD, OR
Registration Details
- NPI Number
- 1265403851
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2006 (20.497320874041 yrs)
- Last Updated
- Nov 26, 2007
- License
-
07804146RN (OR)
Practice Information
- Address
-
1200 MIRA MAR AVEMEDFORD, OR, 975048546Browse OR providers · Browse ZIP 97504
- Phone
- 5416645151
- Primary Specialty
-
General Practice Nurse
163WG0000X
Other General Practice Nurse Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| JOSH MURRAY | — | 1619684784 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.