Individual
MRS. HANNAH BERGERON BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
15770 PAUL VEGA MD DR STE 204, HAMMOND, LA 70403-1475
(985) 230-2778
Mailing address
1515 ELLIS DR, HAMMOND, LA 70401-1719
(225) 270-6952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229908
LA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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