Individual provider · Type 1 NPI

Stephanie Marie Basham, AGAC-NP

Acute Care Nurse Practitioner · Roanoke, VA

NPI number 1356071328 Active

Practice location

2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465

Call (540) 853-0100 Map

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	0024183788 (VA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1356071328

Stephanie Marie Basham, AGAC-NP's National Provider Identifier is 1356071328, issued on Jun 13, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Roanoke, VA. The record was last updated on Nov 18, 2022.