Nurse Practitioner
AMANDA BASHAM FNP -BC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1780326454 · enumerated 2022-04-12 · record updated 2022-04-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3986 MARYVILLE RD, GRANITE CITY, IL, 62040-4191 (618) 797-0618 Google Maps Apple Maps OpenStreetMap
- Practice location 3986 MARYVILLE RD, GRANITE CITY, IL, 62040-4191 (618) 797-0618 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary · License 209025025 IL
In this directory
Locations and evidence
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Practice location
GRANITE CITY, IL, 620404191
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.