KATHY DENESE BASS

LAKE CITY, FL
NPI1609435239
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  NP-APRN11000137)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  NP-APRN11000137)
Enumeration Date2019-06-07
Last Update Date2019-06-07
Business Address
Mrs. KATHY DENESE BASS
340 NW COMMERCE DR
LAKE CITY, FL 32055-4709
Phone number: 800-507-8874
Mailing Address
Mrs. KATHY DENESE BASS
1439 RAIFORD RD
STARKE, FL 32091-1425
Phone number: 904-263-9596