Individual provider · NPI-1

Gail Ann Basile, FNP

Nurse Practitioner, Family · Stockton, CA

NPI number1063587368
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1063587368
Entity type
Individual (NPI-1)
Name
Gail Ann Basile
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyNP10523CAYes

Practice location

7373 West Ln
Stockton, CA 95210-3377

Phone 209-476-3184

Mailing address

8810 Sunnybrook Ln
Fair Oaks, CA 95628-3914

Phone 916-967-1488

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