Individual
MRS. LOREN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
395 NORTHWOOD DR, CENTRE, AL 35960-1045
(256) 927-4900
(256) 927-9151
Mailing address
395 NORTHWOOD DR, CENTRE, AL 35960-1045
(256) 927-4900
(256) 927-9151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-107686
AL
363LF0000X
Family Nurse Practitioner
Primary
F0211066
AL
Other
Enumeration date
02/15/2011
Last updated
06/04/2021
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