Individual
PAULA DENISE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
6849 CASSINI AVE, LAS CRUCES, NM 88012-7224
(912) 596-1995
Mailing address
6849 CASSINI AVE, LAS CRUCES, NM 88012-7224
(912) 596-1995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54727
NM
163WC0400X
Case Management Registered Nurse
54727
NM
163WE0003X
Emergency Registered Nurse
54727
NM
251B00000X
Case Management Agency
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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