Individual
KAMBERLYN BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 541-1758
Mailing address
9317 LAKE SHORE BLVD, MENTOR, OH 44060-1609
(216) 346-7439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0033577
OH
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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