Provider Demographics
NPI:1568685881
Name:BASSLER, NOEMI MARIE (BSN)
Entity Type:Individual
Prefix:MRS
First Name:NOEMI
Middle Name:MARIE
Last Name:BASSLER
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:MISS
Other - First Name:NOEMI
Other - Middle Name:MARIE
Other - Last Name:STROMBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:227 SURREY LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-6654
Mailing Address - Country:US
Mailing Address - Phone:406-273-3134
Mailing Address - Fax:
Practice Address - Street 1:634 EDDY AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-1851
Practice Address - Country:US
Practice Address - Phone:406-243-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN22494163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse