Provider Demographics
NPI:1891517462
Name:BASILIO, YVONNE N/A (RN)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:N/A
Last Name:BASILIO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:N/A
Other - Last Name:BASILIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:YVONNE BASILIO
Mailing Address - Street 1:1233 TAYLOR AVE N APT 304
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3375
Mailing Address - Country:US
Mailing Address - Phone:509-362-8077
Mailing Address - Fax:
Practice Address - Street 1:1412 SW 43RD ST STE 104
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4803
Practice Address - Country:US
Practice Address - Phone:425-264-0750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE96300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse