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Mrs. Roberta Ainslie Basist, NP
Women's Health Nurse Practitioner in Eureka, California
NPI 1750338802

Roberta Ainslie Basist is a Women's Health Nurse Practitioner based in Eureka, CA and is specialized in Women's Health. Roberta Ainslie Basist practices in Eureka, CA and has the professional credentials of NP. The NPI Number for Roberta Ainslie Basist is 1750338802 and holds a License No. 247314 (California).

The current practice location address for Roberta Ainslie Basist is 1930 Myrtle Ave, Eureka, CA and can be reached out via phone at 707-443-3557 and via fax at 707-443-3971.

Location: 1930 Myrtle Ave, Eureka, CA, 95501-1406
person
Provider Profile Details
NPI Number
1750338802
Provider Name
Roberta Ainslie Basist
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1930 Myrtle Ave, Eureka, CA, 95501-1406
Phone Number
707-443-3557
Fax Number
707-443-3971
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G654330 05 CA
institution
Provider Business Practice Location Address Details
Address
1930 Myrtle Ave
City
State
Zip
95501-1406
Phone Number
707-443-3557
Fax Number
707-443-3971
person
Provider Business Mailing Address Details
Address
1930 Myrtle Ave
City
State
Zip
95501-1406
Phone Number
707-443-3557
Fax Number
707-443-3971
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
247314 (California)
Definition
Definition to come...
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