Amanda June Basham
FNP -BC | Nurse Practitioner
3986 Maryville Rd, Granite City
Illinois, 62040-4191
618-797-0618
Amanda June Basham is a Granite City, Illinois based nurse practitioner. Active license number of Amanda June Basham is 209025025 in Illinois. Her current practice location is 3986 Maryville Rd, Granite City. Patients can reach her at 618-797-0618. Amanda June Basham is FNP -BC and her NPI number (Unique professional ID assigned by NPPES) is 1780326454.
Amanda June Basham has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Amanda June Basham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Amanda June Basham |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP -BC |
| Practice Address: | 3986 Maryville Rd, Granite City,
Illinois, 62040-4191 |
| Phone: | 618-797-0618 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1780326454 |
| NPI Enumeration Date: | 12 Apr, 2022 |
| NPI Last Update On: | 12 Apr, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda June Basham are as mentioned below.
| License Number | Specialization | State | Status | |
| 209025025 | | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Amanda June Basham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1811087604 | Other | | NPI |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Amanda June Basham
3986 Maryville Rd,
Granite City, Illinois |
| Zip: | 62040-4191 |
| Phone Number: | 618-797-0618 |
Patients can reach Amanda June Basham at
3986 Maryville Rd, Granite City, Illinois or can
call to book an appointment on 618-797-0618.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.