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Contact Information

BETH E BASSO, GCNS, AGPCNP
730 SOM CENTER RD STE 240
MAYFIELD, OH44143-2362
 Phone: 440-720-3269
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for BETH E BASSO · (Female)

NPI # 1548677933
Status Active
Credentials GCNS, AGPCNP
Entity Individual
Enumeration date 07/17/2014
Last updated 01/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA12813
  • OH License # COA15939NP
Hospital affiliation(s)
  • UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER - (Acute Care)
    3999 RICHMOND ROAD
    BEACHWOOD, OH 44122
  • UNIVERSITY HOSPITALS OF CLEVELAND - (Acute Care)
    11100 EUCLID AVENUE
    CLEVELAND, OH 44106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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