Individual
MICHELLE BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP RN BSN MSN OCN
Contact information
Practice address
4160 JOHN R ST, SUITE 917, DETROIT, MI 48201-2020
(313) 745-4525
(313) 745-0011
Mailing address
1560 E MAPLE RD, SUITE 400 - CREDENTIALING, TROY, MI 48083-1189
(248) 581-5972
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704229444
MI
Other
Enumeration date
08/04/2010
Last updated
03/26/2021
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