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Amanda June Basham, FNP-BC
Nurse Practitioner in Granite City, Illinois
NPI 1780326454

Amanda June Basham is a Nurse Practitioner based in Granite City, IL. Amanda June Basham practices in Granite City, IL and has the professional credentials of FNP-BC. The NPI Number for Amanda June Basham is 1780326454 and holds a License No. 209025025 (Illinois).

The current practice location address for Amanda June Basham is 3986 Maryville Rd, Granite City, IL and can be reached out via phone at 618-797-0618.

Location: 3986 Maryville Rd, Granite City, IL, 62040-4191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780326454
Provider Name
Amanda June Basham
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3986 Maryville Rd, Granite City, IL, 62040-4191
Phone Number
618-797-0618
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811087604 01 NPI
institution
Provider Business Practice Location Address Details
Address
3986 Maryville Rd
City
Granite City
State
Illinois
Zip
62040-4191
Phone Number
618-797-0618
Fax Number
person
Provider Business Mailing Address Details
Address
3986 Maryville Rd
City
Granite City
State
Illinois
Zip
62040-4191
Phone Number
618-797-0618
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209025025 (Illinois)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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