person
Marie Shyrell Basa, FNP-BC
Family Nurse Practitioner in Fountain Valley, California
NPI 1356739767

Marie Shyrell Basa is a Family Nurse Practitioner based in Cerritos, CA and is specialized in Family. Marie Shyrell Basa practices in Fountain Valley, CA and has the professional credentials of FNP-BC. The NPI Number for Marie Shyrell Basa is 1356739767 and holds a License No. 673060 (California).

The current practice location address for Marie Shyrell Basa is 15975 Harbor Blvd, Fountain Valley, CA and can be reached out via phone at 714-546-6575 and via fax at 714-551-9411.

Location: 15975 Harbor Blvd, Fountain Valley, CA, 90703-2648
person
Provider Profile Details
NPI Number
1356739767
Provider Name
Marie Shyrell Basa
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
15975 Harbor Blvd, Fountain Valley, CA, 90703-2648
Phone Number
714-546-6575
Fax Number
714-551-9411
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15975 Harbor Blvd
City
State
Zip
92708-1303
Phone Number
714-546-6575
Fax Number
714-551-9411
person
Provider Business Mailing Address Details
Address
15975 Harbor Blvd
City
State
Zip
92708-1303
Phone Number
714-546-6575
Fax Number
714-551-9411
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
673060 (California)
Definition
Definition to come...
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