Individual provider · Type 1 NPI
Sonja Heather Basham
General Practice Registered Nurse · Mentor, OH
NPI number
1689174492
Active
Practice location
9325 Megan Ct
Mentor, OH 44060-1764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN.408480 (OH) |
| General Practice Registered Nurse Primary | 163WG0000X | RN.408480 (OH) |
General Practice Registered Nurse: Definition to come...
About NPI 1689174492
Sonja Heather Basham's National Provider Identifier is 1689174492, issued on Feb 19, 2018. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Mentor, OH. The record was last updated on Feb 19, 2018.