Basic Information
| Provider Information | |||||||||
| NPI: | 1225194525 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BASKETTE | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 US RT 130 N | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | CINNAMINSON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8568299345 | ||||||||
| FaxNumber: | 8568290580 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 WALNUT ST | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191075509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155031340 | ||||||||
| FaxNumber: | 2155031342 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2006 | ||||||||
| LastUpdateDate: | 02/24/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN169729L | PA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.