person
Holly R Bashura, APRN
Family Nurse Practitioner in Bridgeport, Connecticut
NPI 1194771758

Holly R Bashura is a Family Nurse Practitioner based in Bridgeport, CT and is specialized in Family. Holly R Bashura practices in Bridgeport, CT and has the professional credentials of APRN. The NPI Number for Holly R Bashura is 1194771758 and holds a License No. 002970 (Connecticut).

The current practice location address for Holly R Bashura is 4699 Main St, Bridgeport, CT and can be reached out via phone at 203-374-6162 and via fax at 203-374-1549.

Location: 4699 Main St, Bridgeport, CT, 06606-1830
person
Provider Profile Details
NPI Number
1194771758
Provider Name
Holly R Bashura
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
4699 Main St, Bridgeport, CT, 06606-1830
Phone Number
203-374-6162
Fax Number
203-374-1549
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004258267 05 CT
institution
Provider Business Practice Location Address Details
Address
4699 Main St
City
State
Zip
06606-1830
Phone Number
203-374-6162
Fax Number
203-374-1549
person
Provider Business Mailing Address Details
Address
4699 Main St
City
State
Zip
06606-1830
Phone Number
203-374-6162
Fax Number
203-374-1549
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
002970 (Connecticut)
Definition
Definition to come...
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