Basa, Gracious K

Basa, Gracious K is an sole proprietor health care provider with primary practice located at 41670 Ivy St Suite B , Murrieta CA 92562-1707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Basa, Gracious K can be contacted via phone (951) 600-7702.

Contact Information

Primary practice address
41670 Ivy St Suite B Murrieta CA 92562-1707
Phone: (951) 600-7702
Fax: (951) 600-5987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20961 California

Profile Details

NPI number 1649555939
LBN Legal business name Basa, Gracious K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2011
Last updated Feb 8th, 2013 - about 13 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.

Request for update

Popular Providers