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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SEVERINE MIA CLEMENCE BASHAM, P.A.

Active

MRS. SEVERINE MIA CLEMENCE BASHAM, P.A. is a Physician Assistant healthcare provider located in LIBBY, Montana. NPI 1518144260 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LIBBY, MT

Registration Details

NPI Number
1518144260
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2008 (18.370265428953 yrs)
Last Updated
Dec 11, 2014
License
34352 (MT)

Practice Information

Address
211 E 2ND ST
LIBBY, MT, 599232047
Browse MT providers · Browse ZIP 59923
Phone
4062938711
Fax
4062938735
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LIBBY, MT

Name Credential NPI
JOSEPH D CHOPYAK PAC 1730160888
MR. JESSE THOMAS BROWN PA-C 1467515635
MRS. ROSEMARY EDITH BERGROOS PA-C 1457480279
CHERYL GOURLEY PA-C 1700284486
SKYLER ANTHONY GALLAWAY PA-C 1902308950
ROBERT J O'ROURKE MS, PA-C 1437640133
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.