Individual provider · Type 1 NPI

Keith Samuel Bass, NP-C

Family Nurse Practitioner · Anna, IL

NPI number 1114440179 Active

Practice location

513 N Main St
Anna, IL 62906-1668

Mailing address

20 Lynwood Ln
Anna, IL 62906-3265

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209015848 (IL)
Family Nurse Practitioner Primary 363LF0000X277002840 (IL)

Family Nurse Practitioner: Definition to come...

41 other providers at this address

Other family nurse practitioner providers in Anna

See all in Anna →

About NPI 1114440179

Keith Samuel Bass, NP-C's National Provider Identifier is 1114440179, issued on Jul 21, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Anna, IL. The record was last updated on Jan 5, 2024.