National Provider Identifier

Grace Anna Basden, PA-C

Grace Anna Basden, PA-C is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Lockport, NY and a listed phone number of (716) 778-8627.

NPI 1083497788Lockport, NYFamily Medicine Physician

Source: public NPPES record, last updated August 16, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1083497788
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
August 16, 2023
Last Updated
August 16, 2023

Practice Location

  • 5949 Campbell Blvd
  • Lockport, NY 14094-9204

Phone: (716) 778-8627

Specialties

  • Family Medicine Physician (207Q00000X)

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Biography

Grace Basden, PA-C, is a physician assistant practicing family medicine in Lockport, New York. She is part of the MedWell Niagara Family Medicine care team, where she works in an outpatient primary care setting alongside the practice’s physicians and advanced practice providers.

Her public NPI record lists her credential as PA-C and her specialty as family medicine, reflecting a broad primary care role that supports ongoing care for patients and families in the Lockport area.

Full Record
NPI
1083497788
Entity Type
Individual
Last Name
Basden
First Name
Grace
Middle Name
Anna
Credential
PA-C
Mailing Street Address
5949 Campbell Blvd
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-9204
Mailing Country
US
Practice Street Address
5949 Campbell Blvd
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-9204
Practice Country
US
Practice Phone
(716) 778-8627
Enumeration Date
August 16, 2023
Last Updated
August 16, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 16, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)