| Alexandra Nicole Dibasilio, | |
| 
					315 Pope Ave Apt 8, Fort Leavenworth, KS 66027-1383  | |
| (410) 960-5206 | |
| Not Available | 
| Full Name | Alexandra Nicole Dibasilio | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 315 Pope Ave Apt 8, Fort Leavenworth, Kansas | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013640093 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | R249243 (Maryland) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alexandra Nicole Dibasilio, 315 Pope Ave Apt 8, Fort Leavenworth, KS 66027-1383 Ph: (410) 960-5206  | Alexandra Nicole Dibasilio, 315 Pope Ave Apt 8, Fort Leavenworth, KS 66027-1383 Ph: (410) 960-5206  | 
Miss Ligia J Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Harry Bell Rd, Fort Leavenworth, KS 66027 Phone: 417-655-0627  | |
Vincent Krause, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6000 Fax: 913-684-6612  | |
Mr. Jerry Lee Green Jr., FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208  | |
Ernest Francia Degenhardt, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn) Mcxn-cod. Ms Cotton, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208  | |
James Lawrence Sall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6671  | |
Mrs. Jennifer Herriage, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6000  |