Individual
BETHANY RACHEL BASNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 E STATESVILLE AVE STE 200, MOORESVILLE, NC 28115-2588
(704) 360-8486
(704) 230-4674
Mailing address
12123 WILLINGDON RD, HUNTERSVILLE, NC 28078-5654
(704) 591-6934
(704) 948-7060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005002292
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5002292
NC
Other
Enumeration date
12/20/2006
Last updated
08/22/2024
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