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Stacey Marie Bast
Licensed Practical Nurse in Edwardsville, Illinois
NPI 1578105367

Stacey Marie Bast is a Licensed Practical Nurse based in Chester, IL. Stacey Marie Bast practices in Edwardsville, IL. The NPI Number for Stacey Marie Bast is 1578105367 and holds a License No. 043-087181 (Illinois).

The current practice location address for Stacey Marie Bast is 223 Garden St, Edwardsville, IL and can be reached out via phone at 314-420-9576.

Location: 223 Garden St, Edwardsville, IL, 62233-1755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578105367
Provider Name
Stacey Marie Bast
Credential
Provider Entity Type
Individual
Gender
Female
Address
223 Garden St, Edwardsville, IL, 62233-1755
Phone Number
314-420-9576
Fax Number
Provider Enumeration Date
10/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
223 Garden St
City
Edwardsville
State
Illinois
Zip
62025-1974
Phone Number
314-420-9576
Fax Number
person
Provider Business Mailing Address Details
Address
223 Garden St
City
Edwardsville
State
Illinois
Zip
62025-1974
Phone Number
314-420-9576
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043-087181 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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