| Doctor Name: | MRS. CHRISTINE M BASS |
| NPI Number: | 1003095142 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BC |
| License Number: | RN9188227 |
| Business Practice Address: | 1250 N Ferdon Blvd Crestview, FL - 325361751 |
| Business Phone Number: | 8506897177 |
| Business Fax Number: | 8506897332 |
| Mailing Address: | 221 Hospital Dr Ne, FORT WALTON BEACH |
| State: | FL |
| Postal Code: | 325485066 |
| Phone Number: | 8508339240 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2007 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN9188227 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |