Provider Demographics
NPI:1497133748
Name:BASSEY, VICTORIA ORIE (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:ORIE
Last Name:BASSEY
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
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Mailing Address - Street 1:7350 VAN DUSEN RD
Mailing Address - Street 2:STE 390
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5231
Mailing Address - Country:US
Mailing Address - Phone:240-273-5404
Mailing Address - Fax:301-265-0787
Practice Address - Street 1:4475 REGENCY PLACE STE 303
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-0000
Practice Address - Country:US
Practice Address - Phone:301-645-3420
Practice Address - Fax:301-265-0787
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR146618363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily