Provider Demographics
NPI:1619105814
Name:BASSETT, SYLVIE LYNN (NP)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIE
Middle Name:LYNN
Last Name:BASSETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 S CONGRESS AVE STE 115-116
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-5876
Mailing Address - Country:US
Mailing Address - Phone:561-734-4545
Mailing Address - Fax:561-734-4545
Practice Address - Street 1:1325 S CONGRESS AVE STE 115-116
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426
Practice Address - Country:US
Practice Address - Phone:561-734-4545
Practice Address - Fax:561-734-0528
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9445515363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology