Individual provider · Type 1 NPI

Amanda June Basham, FNP -BC

Nurse Practitioner · Granite City, IL

NPI number 1780326454 Active

Practice location

3986 Maryville Rd
Granite City, IL 62040-4191

Call (618) 797-0618 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209025025 (IL)

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 1780326454

Amanda June Basham, FNP -BC's National Provider Identifier is 1780326454, issued on Apr 12, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Granite City, IL. The record was last updated on Apr 12, 2022.