Basciano, Kiersten Nicole

Basciano, Kiersten Nicole is an sole proprietor health care provider with primary practice located at 1051 Johnston Willis Dr Ste 200 , North Chesterfield VA 23235-4871. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Basciano, Kiersten Nicole can be contacted via phone (804) 320-2705.

Contact Information

Primary practice address
1051 Johnston Willis Dr Ste 200 North Chesterfield VA 23235-4871
Phone: (804) 320-2705
Fax: (804) 330-2433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110007461 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1770041188
LBN Legal business name Basciano, Kiersten Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2019
Last updated Oct 6th, 2020 - about 6 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