Individual provider · NPI-1
Sarah Elizabeth Bass, FNP-C
Nurse Practitioner, Family · Ketchikan, AK
NPI number1831697754
StatusActive
Last updated in NPPESJan 25, 2018
Details
- NPI
- 1831697754
- Entity type
- Individual (NPI-1)
- Name
- Sarah Elizabeth Bass
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2018
- Last updated
- Jan 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 129580 | AK | Yes |
Practice location
3524 Tongass AveKetchikan, AK 99901-5635
Phone 907-225-6355
Mailing address
3924 Big Rock RdKetchikan, AK 99901-9639
Phone 907-617-3816
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