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Vanessa L Basara, CRNP

Nurse Practitioner in Wilkes Barre, PA. Individual provider (NPI-1).

NPI number1790284594
StatusActive
Last updated in NPPESAug 30, 2020

Details

NPI
1790284594
Entity type
Individual (NPI-1)
Name
Mrs. Vanessa L Basara
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2018
Certification date
Aug 30, 2020
Last updated
Aug 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerSP018672PAYes
163W00000X Registered NurseRN605353PA

Practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Phone 570-808-7300

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Phone 570-271-6144 · Fax 570-271-6578

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