STEPHANIE MARIE BASHAM

ROANOKE, VA
NPI1356071328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  0024183788)
Enumeration Date2022-06-13
Last Update Date2022-11-18
Business Address
STEPHANIE MARIE BASHAM AGAC-NP
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 24014-2465
Phone number: 540-853-0100
Mailing Address
STEPHANIE MARIE BASHAM AGAC-NP
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: 540-224-5715
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