Susan Jean Bass
Registered Nurse, Women's Health Care, Ambulatory in Honolulu, HI. Individual provider (NPI-1).
NPI number1902882004
StatusActive
Last updated in NPPESMay 18, 2008
Details
- NPI
- 1902882004
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan Jean Bass
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2005
- Last updated
- May 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WW0101X | Registered Nurse, Women's Health Care, Ambulatory | 172 | HI | Yes |
Practice location
459 Patterson RdHonolulu, HI 96819-1522
Phone 808-381-4928
Mailing address
3036 Diamond Head RdHonolulu, HI 96815-4717
Phone 808-381-4928
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