Basto, Lana Marie Enriquez

Basto, Lana Marie Enriquez is an individual health care provider with primary practice located at 3720 Farragut Ave Ste 103 , Kensington MD 20895-2110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Basto, Lana Marie Enriquez can be contacted via phone (240) 900-3933.

Contact Information

Primary practice address
3720 Farragut Ave Ste 103 Kensington MD 20895-2110
Phone: (240) 900-3933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024175605 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC003089 Maryland

Profile Details

NPI number 1164925343
LBN Legal business name Basto, Lana Marie Enriquez
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2018
Last updated Jun 7th, 2021 - about 4 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 1164925343 NPPES
Maryland Other AC003089 MARYLAND NP LICENSE

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