Individual provider · Type 1 NPI
Courtney Lasumner Bass, NP
Nurse Practitioner · Midvale, UT
Practice location
1028 W Rooftop Dr
Midvale, UT 84047-4805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 9321350-3102 (UT) |
| Nurse Practitioner Primary | 363L00000X | 9321350-4405 (UT) |
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 1871241950
Courtney Lasumner Bass, NP's National Provider Identifier is 1871241950, issued on Mar 16, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Midvale, UT. The record was last updated on Oct 20, 2024.