Individual
SHATASHA BASTIAN-COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2109 2ND AVE SW APT 1, MINOT, ND 58701-3456
(701) 340-1288
Mailing address
2109 2ND AVE SW APT 1, MINOT, ND 58701-3456
(701) 340-1288
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
148954
ND
Other
Enumeration date
04/21/2025
Last updated
09/11/2025
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