Sonja Heather Basham
Registered Nurse, General Practice in Mentor, OH. Individual provider (NPI-1).
NPI number1689174492
StatusActive
Last updated in NPPESFeb 19, 2018
Details
- NPI
- 1689174492
- Entity type
- Individual (NPI-1)
- Name
- Sonja Heather Basham
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2018
- Last updated
- Feb 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN.408480 | OH | Yes |
| 163W00000X | Registered Nurse | RN.408480 | OH |
Practice location
9325 Megan CtMentor, OH 44060-1764
Phone 330-998-0818
Mailing address
9325 Megan CtMentor, OH 44060-1764
Phone 330-998-0818
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