Individual
ANDREA LEIGH BASHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
2123 AUBURN AVE, SUITE 139, CINCINNATI, OH 45219-2906
(513) 206-1170
(513) 206-1172
Mailing address
2123 AUBURN AVE, SUITE 139, CINCINNATI, OH 45219-2906
(513) 206-1170
(513) 206-1172
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.14889
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088448
—
OH
Enumeration date
07/30/2013
Last updated
11/17/2014
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