Provider Demographics
NPI:1396390530
Name:BASMAN, TRISHA LYNNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:LYNNE
Last Name:BASMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:LYNNE
Other - Last Name:DARIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:939 SNOW DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4715
Mailing Address - Country:US
Mailing Address - Phone:925-383-5814
Mailing Address - Fax:
Practice Address - Street 1:939 SNOW DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4715
Practice Address - Country:US
Practice Address - Phone:925-383-5814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95162174163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult