Individual provider · Type 1 NPI
Ann C. Basom, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Columbus, OH
NPI number
1912630187
Active
Practice location
700 Childrens Dr
Columbus, OH 43205-2639
Mailing address
4995 Bradenton Ave
Dublin, OH 43017-3543
Other practice locations
- 4995 Bradenton Ave Ste 130, Dublin, OH 43017-3551 · (843) 475-8657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0032005 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912630187
Ann C. Basom, PMHNP's National Provider Identifier is 1912630187, issued on Jul 6, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbus, OH. The record was last updated on Jun 11, 2025.