Individual
VIRGINIA BASTIAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1028 S 9TH ST, MILWAUKEE, WI 53204-1335
(414) 643-6441
Mailing address
4376 S 52ND ST, GREENFIELD, WI 53220-3570
(414) 520-5483
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
63658-030
WI
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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