National Provider Identifier Database

KATHY L BASHAWATY, MSN, FNP-BC – NPI #1386935955
Family


Contact Information

KATHY L BASHAWATY, MSN, FNP-BC
6777 W MAPLE RD
WEST BLOOMFIELD, MI48322-3013
Phone: 248-325-1000
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for KATHY L BASHAWATY

NPI Number 1386935955
Credentials MSN, FNP-BC
Entity Individual
Enumeration date 04/29/2011
Last updated 02/19/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 4704190275
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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