Individual
MS. KAYLEEN BASTIAANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
538 LITCHFIELD ST, SUITE 103, TORRINGTON, CT 06790-6669
(860) 489-5148
(860) 489-4752
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001974
CT
Other
Enumeration date
08/10/2006
Last updated
10/04/2007
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