Individual
RAMONA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3743 LANDMARK DR, STE 200, LAFAYETTE, IN 47905-6656
(765) 448-4511
(765) 447-8375
Mailing address
3743 LANDMARK DR, STE 200, LAFAYETTE, IN 47905-6656
(765) 448-4511
(765) 447-8375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000406
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201141000
—
IN
Enumeration date
11/01/2006
Last updated
06/11/2021
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