Individual provider · Type 1 NPI

Enas Basha, NP

Acute Care Nurse Practitioner · Conyers, GA

NPI number 1104328095 Active

Practice location

1412 Milstead Ave NE
Conyers, GA 30012-3877

Mailing address

1371 Sonoma Dr
Lawrenceville, GA 30045-7833

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X217282 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104328095

Enas Basha, NP's National Provider Identifier is 1104328095, issued on Mar 6, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Conyers, GA. The record was last updated on Feb 19, 2020.