Bassett, Tanya R

Bassett, Tanya R is an individual health care provider with primary practice located at 46 Albion St Southwest Community Health Center, Bridgeport CT 06605-2602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bassett, Tanya R can be contacted via phone (203) 330-6000.

Contact Information

Primary practice address
46 Albion St Southwest Community Health Center Bridgeport CT 06605-2602
Phone: (203) 330-6000
Fax: (203) 330-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1801293824 Connecticut

Profile Details

NPI number 1801293824
LBN Legal business name Bassett, Tanya R
Credentials DNP, MHPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated Nov 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801293824 NPPES
Connecticut Other 005987 CONNECTICUT LICENSE

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