Amanda Basham, FNP -BC
NPI 1780326454 · Nurse Practitioner · Granite City, IL
Amanda Basham, FNP -BC is a Nurse Practitioner provider in Granite City, IL (NPI 1780326454).
Provider details
- NPI number
- 1780326454
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP -BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209025025 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-12
- Last updated
- 2022-04-12
- Certified
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.