TINA ROSE BASS RN
NPI 1760750376
Registered Nurse - Psychiatric/Mental Health, Adult in Fort Pierce, FL
Active since December 09, 2011
About Tina Rose Bass Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA ROSE BASS RN (NPI 1760750376) is an individual psychiatric/mental health, adult provider in Fort Pierce, Florida, licensed in Florida (9301212) and active in the NPI registry since December 2011.
NPPES Registry Identity
NPI1760750376
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameTINA ROSE BASSCredential: RN
Location Address4500 W MIDWAY RDFort Pierce, FL 34981-4823
Mailing Address472 Sw Baoy AvePort St Lucie, FL 34953-3813 · (772) 216-0770
Phone(772) 672-8481
Sole ProprietorNo
Enumeration DateDecember 9, 2011
✔ NPI 1760750376 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in FL · 9301212
4500 W MIDWAY RD, Fort Pierce, FL 34981
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychiatry)
4500 W MIDWAY RD
FORT PIERCE, FL 34981
FORT PIERCE, FL 34981
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760750376, enumerated as an "individual" on December 09, 2011.
The provider is located at 4500 W MIDWAY RD FORT PIERCE, FL 34981 and the phone number is (772) 672-8481.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.
