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Individual

BETH E BASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GCNS, AGPCNP

Contact information

Practice address
730 SOM CENTER RD STE 240, MAYFIELD VILLAGE, OH 44143-2362
(440) 720-3269
Mailing address
32408 KNOBLE RD, WILLOWICK, OH 44095-3816

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
COA15939NP
OH
364SG0600X
Gerontology Clinical Nurse Specialist
COA12813
OH

Other

Enumeration date
07/17/2014
Last updated
01/13/2021
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