NICHOLAS BASS

OPP, AL
NPI1982117412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: AL  1-144846)
Enumeration Date2017-11-07
Last Update Date2018-03-17
Business Address
NICHOLAS BASS AGPCNP-BC
702 N MAIN ST
OPP, AL 36467-1626
Phone number: 334-493-3541
Mailing Address
NICHOLAS BASS AGPCNP-BC
267 RIDGE DR
HEADLAND, AL 36345-7405
Phone number: 334-796-7670
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