Christine M Bass, RN, BC
Registered Nurse, School in Crestview, FL. Individual provider (NPI-1).
NPI number1003095142
StatusActive
Last updated in NPPESOct 25, 2007
Details
- NPI
- 1003095142
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Christine M Bass
- Credential
- RN, BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2007
- Last updated
- Oct 25, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | RN9188227 | FL | Yes |
Practice location
1250 N Ferdon BlvdCrestview, FL 32536-1751
Phone 850-689-7177 · Fax 850-689-7332
Mailing address
221 Hospital Dr NeFort Walton Beach, FL 32548-5066
Phone 850-833-9240
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