NICOLE MARIE BASSOUNAS

PHILADELPHIA, PA
NPI1972197069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP023004)
Enumeration Date2021-03-01
Last Update Date2021-03-01
Business Address
NICOLE MARIE BASSOUNAS CRNP, FNP-C
925 CHESTNUT ST STE 220A
PHILADELPHIA, PA 19107-4248
Phone number: 215-955-8874
Mailing Address
NICOLE MARIE BASSOUNAS CRNP, FNP-C
1527 PINE ST APT 3F
PHILADELPHIA, PA 19102-4643
Phone number: 717-649-3255