Individual provider · NPI-1

Priscilla Pierce Bass, RN, PNP

Nurse Practitioner, Pediatrics · Portland, ME

NPI number1346439221
StatusActive
Last updated in NPPESOct 17, 2007

Details

NPI
1346439221
Entity type
Individual (NPI-1)
Name
Mrs. Priscilla Pierce Bass
Credential
RN, PNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 17, 2007
Last updated
Oct 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsR016879MEYes

Practice location

225 Commercial St
Portland, ME 04101-4613

Phone 207-828-5272

Mailing address

225 Commercial St
Portland, ME 04101-4613

Phone 207-828-5272

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