Courtney Bass FNP

NPI 1154514891 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1154514891
Gender Female
Enumeration Date 08/27/2007
Last Updated 02/24/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
110 KINGSLEY LN
SUITE 312
NORFOLK VA, 23505-4614, US
Phone (757) 354-2885
Fax (757) 889-5742
Business Location
110 KINGSLEY LN
SUITE 312
NORFOLK VA, 23505-4614, US
Phone (757) 354-2885
Fax (757) 398-2020
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0024167341
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According to our database, Courtney Bass FNP NPI is 1154514891, taxonomy code is 363LF0000X and license number is 0024167341, license state is located at Virginia. Courtney Bass FNP physically located at 110 Kingsley Ln, Norfolk VA, 23505-4614. NPI Number Courtney Bass FNP has the Individual type.

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1154514891 NPI number is provided on an as is basis without warranty of any kind. 1154514891 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Bass FNP are for informational purposes only.