National Provider Identifier
Gena Marie Basham, RN
Gena Marie Basham, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 328-3440.
Profile Overview
- NPI
- 1639446081
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- November 29, 2011
- Last Updated
- November 29, 2011
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 328-3440
Mailing Address
- 111 Myrtle St
- Le Roy, NY 14482-1333
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1639446081
- Entity Type
- Individual
- Last Name
- Basham
- First Name
- Gena
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- RN
- Mailing Street Address
- 111 Myrtle St
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-1333
- Mailing Country
- US
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 328-3440
- Enumeration Date
- November 29, 2011
- Last Updated
- November 29, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)