Provider Demographics
NPI:1942072293
Name:BASSEY, EMEKOP (RN)
Entity Type:Individual
Prefix:
First Name:EMEKOP
Middle Name:
Last Name:BASSEY
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 1:23600 E 5TH DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1789
Mailing Address - Country:US
Mailing Address - Phone:832-310-8734
Mailing Address - Fax:
Practice Address - Street 1:23600 E 5TH DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-1789
Practice Address - Country:US
Practice Address - Phone:832-310-8734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1678079163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator