Provider Demographics
NPI:1457098436
Name:PROBASCO-BASLER, CATHERINE JEAN (APN-C)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JEAN
Last Name:PROBASCO-BASLER
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:CATHI
Other - Middle Name:
Other - Last Name:BASLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:28 BROKEN WING DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:CO
Mailing Address - Zip Code:81647-8514
Mailing Address - Country:US
Mailing Address - Phone:303-437-1727
Mailing Address - Fax:
Practice Address - Street 1:HOME CARE AND HOSPICE OF THE VALLEY
Practice Address - Street 2:823 GRAND AVE
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601
Practice Address - Country:US
Practice Address - Phone:970-930-6008
Practice Address - Fax:970-927-6659
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0002817-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner