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Individual

HEATHER ELAINE BASTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2709 W. KINGSHIGHWAY, SUITE 6, PARAGOULD, AR 72450-2644
(870) 236-7272
(870) 236-7275
Mailing address
2709 W. KINGSHIGHWAY, SUITE 6, PARAGOULD, AR 72450-2644
(870) 236-7272
(870) 236-7275

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A01117
AR
363L00000X
Nurse Practitioner
Primary
A03196ANP
AR

Other

Enumeration date
03/01/2006
Last updated
10/07/2009
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