Individual
MARIE FRANCES BASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, FOUR CORNERS REGIONAL HEALTH CENTER, TEEC NOS POS, AZ 86514
(928) 656-5000
Mailing address
HC 61 BOX 30, FOUR CORNERS REGIONAL HEALTH CENTER, TEEC NOS POS, AZ 86514
(928) 656-5000
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
156040-30
WI
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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