Whalio Doctors

NPI 1417396870

Jill Roccaro Bass, APRNCSN

Practitioner Clinical Nurse Specialist Evanston, WY

Practice location

Address
170 Arrowhead Dr STE 2, Evanston, WY 82930-9307
Phone
(307) 212-6270
Fax
(307) 212-6271
Mailing address
2620 Commercial Way STE 20, Rock Springs, WY 82901-4705

Registered specialties (2)

Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 320001245 (WY)
Pain Management Registered Nurse
Nursing Service Providers Taxonomy 163WP0000X Licence 320000.1245 (WY)

Registry record

NPI
1417396870
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Jun 2013
Record last updated
26 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.