Individual provider · Type 1 NPI

Kourtney Bass

Nurse Practitioner · Las Vegas, NV

NPI number 1053936948 Active

Practice location

5300 Spring Mountain Rd Ste 112
Las Vegas, NV 89146-8724

Mailing address

29485 Stellamar Dr
Southfield, MI 48076-5270

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X822111 (NV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053936948

Kourtney Bass's National Provider Identifier is 1053936948, issued on Jun 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 13, 2020.