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Evalynne D Basso
Family Nurse Practitioner in Peoria, Illinois
NPI 1720759830

Evalynne D Basso is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Evalynne D Basso practices in Peoria, IL. The NPI Number for Evalynne D Basso is 1720759830 and holds a License No. 209.023675 (Illinois).

The current practice location address for Evalynne D Basso is 601 E Tripp Ave, Peoria, IL and can be reached out via phone at 309-472-4643.

Location: 601 E Tripp Ave, Peoria, IL, 61603-1221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720759830
Provider Name
Evalynne D Basso
Credential
Provider Entity Type
Individual
Gender
Female
Address
601 E Tripp Ave, Peoria, IL, 61603-1221
Phone Number
309-472-4643
Fax Number
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 E Tripp Ave
City
Peoria
State
Illinois
Zip
61603-1221
Phone Number
309-472-4643
Fax Number
person
Provider Business Mailing Address Details
Address
601 E Tripp Ave
City
Peoria
State
Illinois
Zip
61603-1221
Phone Number
309-472-4643
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.023675 (Illinois)
Definition
Definition to come...
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