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Alexandra Nicole Dibasilio
Primary Care Nurse Practitioner in Fort Leavenworth, Kansas
NPI 1013640093

Alexandra Nicole Dibasilio is a Primary Care Nurse Practitioner based in Fort Leavenworth, KS and is specialized in Primary Care. Alexandra Nicole Dibasilio practices in Fort Leavenworth, KS. The NPI Number for Alexandra Nicole Dibasilio is 1013640093 and holds a License No. R249243 (Kansas).

The current practice location address for Alexandra Nicole Dibasilio is 315 Pope Ave Apt 8, Fort Leavenworth, KS and can be reached out via phone at 410-960-5206.

Location: 315 Pope Ave Apt 8, Fort Leavenworth, KS, 66027-1383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013640093
Provider Name
Alexandra Nicole Dibasilio
Credential
Provider Entity Type
Individual
Gender
Female
Address
315 Pope Ave Apt 8, Fort Leavenworth, KS, 66027-1383
Phone Number
410-960-5206
Fax Number
Provider Enumeration Date
07/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 Pope Ave Apt 8
City
Fort Leavenworth
State
Kansas
Zip
66027-1383
Phone Number
410-960-5206
Fax Number
person
Provider Business Mailing Address Details
Address
315 Pope Ave Apt 8
City
Fort Leavenworth
State
Kansas
Zip
66027-1383
Phone Number
410-960-5206
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
R249243 (Maryland)
Definition
Definition to come...
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