Provider Demographics
NPI:1013747245
Name:BASSING, YANARIS PRESILLA (ARNP)
Entity type:Individual
Prefix:
First Name:YANARIS
Middle Name:PRESILLA
Last Name:BASSING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 EXECUTIVE DR STE 104
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8805
Mailing Address - Country:US
Mailing Address - Phone:239-566-1226
Mailing Address - Fax:239-566-2519
Practice Address - Street 1:4550 EXECUTIVE DR STE 104
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8805
Practice Address - Country:US
Practice Address - Phone:239-566-1226
Practice Address - Fax:239-566-2519
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034498363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner