person
Miriam Anne Bastian, APRN
Neonatal Nurse Practitioner in Salt Lake City, Utah
NPI 1043492838

Miriam Anne Bastian is a Neonatal Nurse Practitioner based in South Jordan, UT and is specialized in Neonatal. Miriam Anne Bastian practices in Salt Lake City, UT and has the professional credentials of APRN. The NPI Number for Miriam Anne Bastian is 1043492838 and holds a License No. 3323184405 (Utah).

The current practice location address for Miriam Anne Bastian is 100 N Medical Dr, Salt Lake City, UT and can be reached out via phone at 801-662-4100.

Location: 100 N Medical Dr, Salt Lake City, UT, 84095-5054
person
Provider Profile Details
NPI Number
1043492838
Provider Name
Miriam Anne Bastian
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
100 N Medical Dr, Salt Lake City, UT, 84095-5054
Phone Number
801-662-4100
Fax Number
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 N Medical Dr
City
State
Zip
84113-1103
Phone Number
801-662-4100
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Medical Dr
City
State
Zip
84113-1103
Phone Number
801-662-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
3323184405 (Utah)
Definition
Definition to come...
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