TRACY BASHAM

ATHENS, WV
NPI1841734688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  49397NP)
Enumeration Date2016-12-13
Last Update Date2018-04-19
Business Address
Ms. TRACY BASHAM FNP
401 E VERMILLION ST
ATHENS, WV 24712-8005
Phone number: 304-384-7325
Mailing Address
Ms. TRACY BASHAM FNP
118 12TH STREET EXT
PRINCETON, WV 24740-2352
Phone number: 304-431-5168
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