Mary E Bassham is a Adult Health in Santa Ana, California. Mary E Bassham practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Mary E Bassham is 1861565012. The last update date is 2007-07-08.
Mary E Bassham's current location address is 3130 S Harbor Blvd, Santa Ana, California. You can contact this provider via phone number 7146198777. The mailing address for Mary E Bassham is 3130 S Harbor Blvd, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Bassham |
|---|---|
| Address | 3130 S Harbor Blvd, Santa Ana, California |
| Phone Number | 7146198777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861565012 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3130 S Harbor Blvd |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927046824 |
| Phone Number | 7146198777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 12387 |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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What is the unique identification code assigned to Mary E Bassham by the Centers for Medicare & Medicaid Services?
The Mary E Bassham has been issued the NPI (National Provider Identifier) 1861565012. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary E Bassham located?
The Mary E Bassham is located at 3130 S Harbor Blvd, Santa Ana, CA 927046824.
What is Mary E Bassham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary E Bassham is Adult Health, and the taxonomy classification code that categorizes this area of expertise is 363La2200X.
On what date did the Mary E Bassham receive the assignment of its 1861565012 from the Centers for Medicare & Medicaid Services?
The Mary E Bassham was issued its 1861565012 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information regarding Mary E Bassham most recently updated?
The details pertaining to the Mary E Bassham, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.