Organization Name: | BASSELL NURSE PRACTITIONER SERVICES, LLC |
NPI Number: | 1326434754 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE BASSELL (OWNER) |
Mailing Address: | 5061 N Pulaski Rd Chicago |
State: | IL US |
Postal Code: | 606302706 |
Phone Number: | 7736044217 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2015 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 309.008041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |