Doctor Name: | NATALIE EUDORA BASTIEN |
NPI Number: | 1013102409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2734882 |
Business Practice Address: | 2191 9th Ave N Suite 110 St Petersburg, FL - 337137146 |
Business Phone Number: | 7278207778 |
Business Fax Number: | 7278207779 |
Mailing Address: | 2191 9th Ave N, Suite 110 ST PETERSBURG |
State: | FL |
Postal Code: | 337137146 |
Phone Number: | 7278207778 |
Fax Number: | 7278207779 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP2734882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |