Individual
ASHLEY CATE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
137 MIRACLE DR, AIKEN, SC 29801-6351
(803) 641-4874
(803) 641-0436
Mailing address
367 S. GULPH RD, ATTN: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 641-4874
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
23350
SC
Other
Enumeration date
02/02/2012
Last updated
02/09/2022
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