DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN LEE BASS, NP, CNS, PHD

Active Sole Proprietor

Critical Care Nurse Practitioner · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1801235320
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2013 (12.848193051244 yrs)
Last Updated
Jun 18, 2013
Licenses
14574 (CA)
2723 (CA)
Sole Proprietor
Yes

Practice Information

Address
1010 MURRAY AVE
TRAUMA & EMERGENCY SURGERY, SVRMC
SAN LUIS OBISPO, CA, 934051806
Browse CA providers · Browse ZIP 93405
Phone
8055467821
Primary Specialty
Critical Care Nurse Practitioner
363LC0200X
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.