SearchColorado101Y00000X

Andrew Basham, NLC

NPI 1992276026 · on the registry since 2018

Practice

Address
1003 Rupple St Pueblo Co 81001
606
Pueblo, CO 81001
Phone
(719) 371-6196

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado