Provider Demographics
NPI:1679250500
Name:BASSETT, ALANA (RN)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:BASSETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GORWIN DR
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-1725
Mailing Address - Country:US
Mailing Address - Phone:774-291-1207
Mailing Address - Fax:
Practice Address - Street 1:20 GORWIN DR
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1725
Practice Address - Country:US
Practice Address - Phone:774-291-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2345771163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse