Individual
LAURA WHITNEY BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGCNS-BC
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-4236
Mailing address
9740 RIDGECREST LN, MCCORDSVILLE, IN 46055-5536
(815) 258-0616
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
28184400A
IN
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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