Gracious Basa, FNP

NPI 1649555939 · on the registry since 2011 · sole proprietor

Practice

Address: 41670 Ivy St Suite B
Murrieta, CA 92562
Phone: (951) 600-7702
Fax: (951) 600-5987
Organisation at this address: David Creamer M D Inc
Andrew Thio, M.D., Inc.
Orange Psychiatric Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California