Provider Demographics
NPI:1427733831
Name:BASKETT, BRIAHNA
Entity type:Individual
Prefix:
First Name:BRIAHNA
Middle Name:
Last Name:BASKETT
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 1:129 PICADILLY CIR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-6838
Mailing Address - Country:US
Mailing Address - Phone:510-556-9662
Mailing Address - Fax:
Practice Address - Street 1:129 PICADILLY CIR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-6838
Practice Address - Country:US
Practice Address - Phone:510-556-9662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN