person
Genevieve T Bastos, NP
Pediatric Nurse Practitioner in Portage, Michigan
NPI 1902843774

Genevieve T Bastos is a Pediatric Nurse Practitioner based in Kalamazoo, MI and is specialized in Pediatrics. Genevieve T Bastos practices in Portage, MI and has the professional credentials of NP. The NPI Number for Genevieve T Bastos is 1902843774 and holds a License No. 4704216473 (Michigan).

The current practice location address for Genevieve T Bastos is 2700 E Centre Ave, Portage, MI and can be reached out via phone at 269-286-7050 and via fax at 269-286-7051.

Location: 2700 E Centre Ave, Portage, MI, 49009-3016
person
Provider Profile Details
NPI Number
1902843774
Provider Name
Genevieve T Bastos
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2700 E Centre Ave, Portage, MI, 49009-3016
Phone Number
269-286-7050
Fax Number
269-286-7051
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2700 E Centre Ave
City
State
Zip
49002-5500
Phone Number
269-286-7050
Fax Number
269-286-7051
person
Provider Business Mailing Address Details
Address
2700 E Centre Ave
City
State
Zip
49002-5500
Phone Number
269-286-7050
Fax Number
269-286-7051
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704216473 (Michigan)
Definition
Definition to come...
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