Provider Demographics
NPI:1649429408
Name:BASSETT, THOMAS LEONARD (RN)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:LEONARD
Last Name:BASSETT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 LUTHERAN STREET
Mailing Address - Street 2:
Mailing Address - City:GREENOCK
Mailing Address - State:PA
Mailing Address - Zip Code:15047
Mailing Address - Country:US
Mailing Address - Phone:412-751-2892
Mailing Address - Fax:
Practice Address - Street 1:650 LUTHERAN STREET
Practice Address - Street 2:
Practice Address - City:GREENOCK
Practice Address - State:PA
Practice Address - Zip Code:15047
Practice Address - Country:US
Practice Address - Phone:412-751-2892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN322163L163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator