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Individual

ANNALYCE BASS

Active
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Individual

ANNALYCE BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-BC

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
327997
GA
363LF0000X
Family Nurse Practitioner
Primary
327997
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236
DC
01
568946544
BCBS
01
5874
HEALTH PARTNERS
Enumeration date
03/18/2024
Last updated
03/18/2024
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