Alexandra Nicole Dibasilio
Alexandra Nicole Dibasilio is a Primary Care Nurse Practitioner in Fort Leavenworth, Kansas. Licensed in Maryland. Registered with an NPI since 2022.
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
315 Pope Ave Apt 8Fort Leavenworth, KS 66027-1383
Phone: (410) 960-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence R249243 (MD) |
|---|
Record details
| NPI number | 1013640093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 6, 2022 |
| Last updated in NPPES | July 6, 2022 |
| Certification date | July 6, 2022 |