BASS COMPREHENSIVE WELLNESS CARE NPI 1427799790

NPI Information

NPI: 1427799790
Provider Name: BASS COMPREHENSIVE WELLNESS CARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
77 FENDLEY TRCE
NEWNAN, GA
ZIP 30263
Phone: (678) 578-5833
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BASS COMPREHENSIVE WELLNESS CARE is a family nurse practitioner in Newnan, GA. BASS COMPREHENSIVE WELLNESS CARE NPI is 1427799790. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

77 FENDLEY TRCE
NEWNAN, GA
ZIP 30263-089
Phone: (678) 578-5833
Fax: (678) 578-5830

The provider's authorized official is Altheia Bass-seldon .
The authorized official title is Owner/family Nurse Practitioner and has the following contact phone number (678) 578-5833.

The enumeration date for this NPI number is 4/2/2022 and was last updated on 4/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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