Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH SAMUEL BASS, NP-C
ActiveKEITH SAMUEL BASS, NP-C is a Family Nurse Practitioner healthcare provider located in ANNA, Illinois. NPI 1114440179 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ANNA, IL
Registration Details
- NPI Number
- 1114440179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2017 (9.023930884488 yrs)
- Last Updated
- Jan 5, 2024
- Licenses
-
209015848 (IL)277002840 (IL)
Practice Information
- Address
-
513 N MAIN STANNA, IL, 629061668Browse IL providers · Browse ZIP 62906
- Phone
- 6188334471
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in ANNA, IL
| Name | Credential | NPI |
|---|---|---|
| REBECCA L PIND | APN | 1417077785 |
| MS. ERICA VINING | NP | 1306303292 |
| MARIBEL ALVARADO | NP | 1508636200 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.