| Doctor Name: | MRS. CHRISTINE ANNE BASILE |
| NPI Number: | 1447629647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, APRN, FNP-C |
| License Number: | RN2291415 |
| Business Practice Address: | 110 W Squantum St North Quincy, MA - 021712122 |
| Business Phone Number: | 6173763000 |
| Business Fax Number: | 6177741905 |
| Mailing Address: | 110 W Squantum St, NORTH QUINCY |
| State: | MA |
| Postal Code: | 021712122 |
| Phone Number: | 6173763000 |
| Fax Number: | 6177741905 |
| NPI Enumeration Date: | 09/17/2015 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN2291415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |