Provider Demographics
NPI:1447499520
Name:BASSETT, MARGARET J
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:J
Last Name:BASSETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 RESERVOIR RD NW STE 177
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2145
Mailing Address - Country:US
Mailing Address - Phone:202-687-2352
Mailing Address - Fax:
Practice Address - Street 1:4000 RESERVOIR RD NW STE 177
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2145
Practice Address - Country:US
Practice Address - Phone:202-687-2352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017000886363LF0000X
DCRN1016064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily