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

AMANDA JUNE BASHAM, FNP -BC

Active

AMANDA JUNE BASHAM, FNP -BC is a Nurse Practitioner healthcare provider located in GRANITE CITY, Illinois. NPI 1780326454 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · GRANITE CITY, IL

Registration Details

NPI Number
1780326454
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2022 (4.3154630182404 yrs)
Last Updated
Apr 12, 2022
License
209025025 (IL)

Practice Information

Address
3986 MARYVILLE RD
GRANITE CITY, IL, 620404191
Browse IL providers · Browse ZIP 62040
Phone
6187970618
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in GRANITE CITY, IL

Name Credential NPI
MRS. DONNA CATHERINE SKOUBY CNP 1235295601
LINDA IDEAN RICH APRN 1386892784
MS. JENNIFER NICOLE HUDSON NP 1336548155
AMY STOWELL 1417571233
KRISTEN SINCLAIR NP 1669209904
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.