Individual
ERIN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 N. SIXTH AVENUE, SANDPOINT, ID 83864-5396
(208) 265-2242
(208) 265-8214
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-1712A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP-1712A
ID LICENSE
ID
Enumeration date
02/24/2016
Last updated
02/17/2022
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