Provider Demographics
NPI:1972649937
Name:BASLER, SALLY ANN M (RNFA)
Entity Type:Individual
Prefix:MS
First Name:SALLY ANN
Middle Name:M
Last Name:BASLER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 N ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-4126
Mailing Address - Country:US
Mailing Address - Phone:978-462-2766
Mailing Address - Fax:978-463-0772
Practice Address - Street 1:6 N ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4126
Practice Address - Country:US
Practice Address - Phone:978-462-2766
Practice Address - Fax:978-463-0772
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA136574163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant