Individual
LINDA JO BASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1721 ENON RD, VALDESE, NC 28690-9314
(828) 879-1601
(828) 874-1403
Mailing address
1721 ENON RD, VALDESE, NC 28690-9314
(828) 754-0101
(828) 757-0402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5004894
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5004894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184925745
—
NC
05
—
7004715
—
NC
Enumeration date
11/12/2010
Last updated
05/06/2021
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