MICHAEL JANSON BASS

PHOENIX, AZ
NPI1235829201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  291618)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: AZ  RN181884)
Enumeration Date2023-05-11
Last Update Date2024-10-09
Business Address
Mr. MICHAEL JANSON BASS PMHNP
1840 N 95TH AVE STE 132
PHOENIX, AZ 85037-4445
Phone number: 623-932-6950
Mailing Address
Mr. MICHAEL JANSON BASS PMHNP
2700 N CENTRAL AVE STE 1050
PHOENIX, AZ 85004-1217
Phone number: 602-376-3353