Individual
DR. AMY BASHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3046 DOLPHIN DR STE 100, ELIZABETHTOWN, KY 42701-7182
(270) 982-1400
(270) 982-1414
Mailing address
61 RESERVE CT, ELIZABETHTOWN, KY 42701-5210
(540) 607-6754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017303
KY
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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