person
Mrs. Lee Young Bastian, APRN
Primary Care Nurse Practitioner in Charleston, South Carolina
NPI 1497139117

Lee Young Bastian is a Primary Care Nurse Practitioner based in Charlotte, SC and is specialized in Primary Care. Lee Young Bastian practices in Charleston, SC and has the professional credentials of APRN. The NPI Number for Lee Young Bastian is 1497139117 and holds a License No. 19552 (South Carolina).

The current practice location address for Lee Young Bastian is 615 Wesley Dr, Charleston, SC and can be reached out via phone at 843-571-6880 and via fax at 843-571-1387.

Location: 615 Wesley Dr, Charleston, SC, 28275-1649
person
Provider Profile Details
NPI Number
1497139117
Provider Name
Lee Young Bastian
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
615 Wesley Dr, Charleston, SC, 28275-1649
Phone Number
843-571-6880
Fax Number
843-571-1387
Provider Enumeration Date
07/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP3503 05 SC
institution
Provider Business Practice Location Address Details
Address
615 Wesley Dr
City
State
Zip
29407-7204
Phone Number
843-571-6880
Fax Number
843-571-1387
person
Provider Business Mailing Address Details
Address
615 Wesley Dr
City
State
Zip
29407-7204
Phone Number
843-571-6880
Fax Number
843-571-1387
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
19552 (South Carolina)
Definition
Definition to come...
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