Bass, Mary

Bass, Mary is an individual health care provider with primary practice located at 6151 S Yale Ave Suite A-100, Tulsa OK 74136-1907. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Bass, Mary can be contacted via phone (918) 494-8500.

Contact Information

Primary practice address
6151 S Yale Ave Suite A-100 Tulsa OK 74136-1907
Phone: (918) 494-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R0032267 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X R0032267 Oklahoma

Profile Details

NPI number 1336136175
LBN Legal business name Bass, Mary
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 21st, 2016 - about 8 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 1336136175 NPPES
Oklahoma MEDICAID 100136240A
Oklahoma Other 500018800

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