Christine M Bass, RN, BC

Individual provider Active NPI School Registered Nurse · Crestview, FL

NPI 1003095142 · NPPES record last updated Oct 25, 2007

Key facts

NPI
1003095142
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN9188227 (FL)
Practice address
1250 N Ferdon Blvd
Crestview, FL 32536-1751
Phone
(850) 689-7177
Fax
(850) 689-7332
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9188227FLMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN9188227 FL Yes

Addresses

Primary practice location

1250 N Ferdon Blvd
Crestview, FL 32536-1751

Mailing address

221 Hospital Dr NE
Fort Walton Beach, FL 32548-5066
Phone (850) 833-9240

Other providers in Crestview, FL

All providers in Crestview, FL · School Registered Nurse in Florida

Sources for this page

Verify at the official NPI Registry.