MEDICARE: NATALIE CHRISTINE BASS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA0000002287	TN
2	363A00000X	Physician Assistant	2287	TN

General Provider Information

NPI Number	:	1821337916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE CHRISTINE BASS PA-C

Provider Business Mailing Address
First Line	:	211 COMMERCE DR
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-3579
Country	:	US
Telephone Number	:	615-355-0100
Fax Number	:	615-355-0684

Provider Business Practice Location Address
First Line	:	211 COMMERCE DR
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-3579
Country	:	US
Telephone Number	:	615-355-0100
Fax Number	:	615-355-0684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2013
Last Update Date	:	05/13/2024

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Directions to “ NATALIE CHRISTINE BASS PA-C” Practice Location

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