Individual provider · Type 1 NPI

Dallas Scott Basham, NP

Nurse Practitioner · Crestview Hills, KY

NPI number 1194758029 Active

Practice location

350 Thomas More Pkwy, Suite 160
Crestview Hills, KY 41017-5465

Fax (513) 569-5297

Mailing address

PO Box 643398
Cincinnati, OH 45264-3398

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XCOA.06624-NP (OH)
Nurse Practitioner 363L00000XCOA.06624-NP (OH)
Registered Nurse 163W00000XRN.178465-1 (OH)
Nurse Practitioner Primary 363L00000X3003742 (KY)
Acute Care Nurse Practitioner 363LA2100X3003742 (KY)
Registered Nurse 163W00000X1097793 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194758029

Dallas Scott Basham, NP's National Provider Identifier is 1194758029, issued on Jul 7, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crestview Hills, KY. The record was last updated on Mar 21, 2016.