Individual
KATHERINE MARIE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
203 N PAGE ST, CHESTERFIELD, SC 29709-1201
(843) 623-2117
(843) 623-3066
Mailing address
14692 HIGHWAY 9, CHESTERFIELD, SC 29709-5228
(843) 731-1694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
56943
SC
163WA2000X
Administrator Registered Nurse
56943
SC
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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