Individual provider · Type 1 NPI
Evalynne D. Basso
Family Nurse Practitioner · Peoria, IL
NPI number
1720759830
Active
Practice location
601 E Tripp Ave
Peoria, IL 61603-1221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.023675 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720759830
Evalynne D. Basso's National Provider Identifier is 1720759830, issued on Sep 28, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Sep 28, 2021.