# AMY LOUISE SMITH- BASSETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518979855
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 041299719 | IL | — |
| 367A00000X | Advanced Practice Midwife | 000333 | CT | Yes |
| 367A00000X | Advanced Practice Midwife | 209004736 | IL | — |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 09/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009003336 | — | CT |
| 01 | — | 041299719 | PROFESSIONAL NURSE LISCEN | IL |
| 01 | — | 209004736 | ADVANCED PRACTICE NURSE | IL |
| 01 | — | 309002077 | CONTROLLED SUBSTANCE | IL |