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Individual
MS. DONNA WHITE BASS
Active
Individual
MS. DONNA WHITE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
800112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005293
—
NC
01
—
C1647
MEDCOST
NC
Enumeration date
05/31/2005
Last updated
02/11/2012
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