Basham, Stephanie Marie

Basham, Stephanie Marie is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Ste 201 , Roanoke VA 24014-2465. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Basham, Stephanie Marie can be contacted via phone (540) 853-0100.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Ste 201 Roanoke VA 24014-2465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024183788 Virginia

Profile Details

NPI number 1356071328
LBN Legal business name Basham, Stephanie Marie
Credentials AGAC-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2022
Last updated Nov 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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