Bass, Donna White

Bass, Donna White is an individual health care provider with primary practice located at 4005 Oleander Dr , Wilmington NC 28403-6816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bass, Donna White can be contacted via phone (910) 790-9949.

Contact Information

Primary practice address
4005 Oleander Dr Wilmington NC 28403-6816
Phone: (910) 790-9949
Fax: (910) 790-9455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 800112 North Carolina

Profile Details

NPI number 1790788024
LBN Legal business name Bass, Donna White
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790788024 NPPES
North Carolina Other C1647 MEDCOST
North Carolina MEDICAID 7005293 MEDCOST

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