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Contact Information

NICOLE M BASSOUNAS, CRNP, FNP-C
925 CHESTNUT ST STE 220A
PHILADELPHIA, PA19107-4248
 Phone: 215-955-8874
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NICOLE M BASSOUNAS · (Female)

NPI # 1972197069
Status Active
Credentials CRNP, FNP-C
Entity Individual
Enumeration date 03/01/2021
Last updated 03/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SP023004
Hospital affiliation(s) Not Available
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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