Individual
LAURA ANN BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
7265 OLD OAK BLVD, MIDDLEBURG HEIGHTS, OH 44130-3342
(440) 816-8200
Mailing address
PO BOX 638269, CINCINNATI, OH 45263-8269
(440) 816-8200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
024849
OH
Other
Enumeration date
06/19/2019
Last updated
01/18/2021
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