Individual
MARYETTA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
234 GOODMAN STREET, CINCINNATI, OH 45219
(513) 584-9999
Mailing address
3200 BURNET AVENUE 1 RIDGEWAY, CINCINNATI, OH 45229
(513) 585-9009
(513) 585-9373
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
NS04119
OH
364S00000X
Clinical Nurse Specialist
RN175534
OH
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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