Individual
ISAAC LIAM BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
88 MAIN ST STE 201, MIDDLEBURY, VT 05753-1425
(413) 687-5175
Mailing address
88 MAIN ST STE 201, MIDDLEBURY, VT 05753-1425
(413) 687-5175
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
026.0147432
VT
Other
Enumeration date
10/21/2024
Last updated
10/25/2024
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