Individual
ANNE LOGAN FORSYTH BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2207 PETERS CREEK RD NW, ROANOKE, VA 24017-1618
(540) 562-3457
Mailing address
209 PARKCREST ST SW, ROANOKE, VA 24014-4211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167950
VA
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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