IndividualActive
Kathy Bass
NPI 1609435239 · Acute Care Nurse Practitioner · Interlachen, FL
Provider details
- NPI number
- 1609435239
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NP-APRN11000137 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Po Box 170
Interlachen, FL 32148-0170
Phone: (386) 684-0195
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 170
Interlachen, FL 32148-0170
Additional practice locations (2)
- 340 Nw Commerce DrLake City, FL 32055-4709Phone: (800) 507-8874
- 340 Nw Commerce DrLake City, FL 32055-4709Phone: (800) 507-8874
Registry dates
- Enumerated
- 2019-06-07
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.