Leslie Allison Bass, RN

Individual provider Active NPI Registered Nurse · Paradise, CA

NPI 1013367044 · NPPES record last updated Jun 21, 2016

Key facts

NPI
1013367044
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
665011 (CA)
Practice address
1309 Nunneley Road
Paradise, CA 95969
Phone
(530) 877-2550
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
Yes

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
665011CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 665011 CA Yes

Addresses

Primary practice location

1309 Nunneley Road
Paradise, CA 95969

Mailing address

1309 Nunneley Road
Paradise, CA 95969
Phone (530) 877-2550

Other providers in Paradise, CA

All providers in Paradise, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.