Individual
AMY BASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1209 S 1ST AVE, PHOENIX, AZ 85003-2692
(602) 258-6797
(602) 248-8119
Mailing address
3877 N 7TH ST STE 400, PHOENIX, AZ 85014-5061
(602) 258-6797
(602) 248-8119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9603
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264991
—
AZ
Enumeration date
11/08/2016
Last updated
09/29/2025
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