Miriam Anne Bastian, APRN
NPI #1043492838 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1043492838
- Entity Type
- Individual
- Name
- Miriam Anne Bastian, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Neonatal
- Credential
- APRN
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Sep 29, 2021
Practice Location
- Address
- 100 N MEDICAL DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1103
- Phone
- (801) 662-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Neonatal — Neonatal |
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