Provider Demographics
NPI:1336977214
Name:BASSIL, DANIELLE DO NASCIMENTO (NP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DO NASCIMENTO
Last Name:BASSIL
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BROOKHILL LN
Mailing Address - Street 2:
Mailing Address - City:WEST YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02673-4826
Mailing Address - Country:US
Mailing Address - Phone:508-648-0029
Mailing Address - Fax:
Practice Address - Street 1:259 NORTH ST STE 1A
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3834
Practice Address - Country:US
Practice Address - Phone:774-552-4902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2698392084P0800X
MARN269839363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty