Individual
HEATHER J. BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
215 S PINE ST, NEWTON, KS 67114-3765
(316) 283-6103
(316) 283-1333
Mailing address
215 S PINE ST, NEWTON, KS 67114-3765
(316) 283-6103
(316) 283-1333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75243
KS
363LF0000X
Family Nurse Practitioner
R35762
ND
Other
Enumeration date
12/17/2010
Last updated
10/24/2016
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