Individual
MRS. CASEY PRATER BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP
Contact information
Practice address
5005 OSCAR BAXTER DR, TUSCALOOSA, AL 35405-3698
(205) 343-2225
(205) 343-7825
Mailing address
5005 OSCAR BAXTER DR, TUSCALOOSA, AL 35405-3698
(205) 343-2225
(205) 343-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-126105
AL
363LF0000X
Family Nurse Practitioner
Primary
1-126105
AL
Other
Enumeration date
05/21/2014
Last updated
01/16/2021
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