Individual
DENISE B BASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4017
(402) 559-9513
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4017
(402) 559-9513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
22121
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22121
NE PA LICENSE
NE
Enumeration date
07/13/2009
Last updated
06/29/2011
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