Individual
BRANDI NICHOLE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
117 PARK AVE, OKLAHOMA CITY, OK 73102-9030
(405) 606-2260
Mailing address
117 PARK AVE, OKLAHOMA CITY, OK 73102-9030
(405) 606-2260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204533
OK
Other
Enumeration date
10/04/2021
Last updated
01/30/2024
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