Individual
EMILY CATHERINE BASTIAANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2517 VESTAL PKWY E, VESTAL, NY 13850-2020
(607) 798-1452
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
340003
NY
Other
Enumeration date
09/18/2015
Last updated
04/05/2021
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