NPI 1003461369

Phillip Bassett

Practitioner Nurse Practitioner Fort Wayne, IN

Practice location

Address: 11141 Parkview Plaza Dr STE 310, Fort Wayne, IN 46845-1714
Phone: (260) 266-8840
Fax: (260) 266-8849
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71009275A (IN)

Other Nurse Practitioner providers in Indiana →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 28223705A (IN)

Other Registered Nurse providers in Indiana →

Registry record

NPI: 1003461369
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2019
Record last updated: 12 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.