Smith- Bassett, Amy Louise
Smith- Bassett, Amy Louise is an individual health care provider with primary practice located at 74 Park Rd Ste 2 , West Hartford CT 06119-1898. 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 / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Smith- Bassett, Amy Louise can be contacted via phone (860) 533-0179.Contact Information
Primary practice address
74 Park Rd Ste 2
West Hartford CT 06119-1898
Phone: (860) 533-0179
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 041299719 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209004736 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000333 | Connecticut |
Profile Details
| NPI number | 1518979855 |
|---|---|
| LBN Legal business name | Smith- Bassett, Amy Louise |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Sep 10th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518979855 | NPPES |
| Illinois | Other | 041299719 | PROFESSIONAL NURSE LISCEN |
| Illinois | Other | 209004736 | PROFESSIONAL NURSE LISCEN |
| Illinois | MEDICAID | 009003336 | PROFESSIONAL NURSE LISCEN |
| Illinois | Other | 309002077 | PROFESSIONAL NURSE LISCEN |
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