Individual
CHRISENIE BRUSHA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1360 BRICKYARD RD, CHIPLEY, FL 32428-6303
(850) 638-1610
Mailing address
218 WHISPER LN, MIDLAND CITY, AL 36350-7042
(334) 695-0782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11030993
FL
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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