Individual
BRUNETTE BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1425 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990-3294
(239) 919-4851
(239) 236-1200
Mailing address
1425 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990-3294
(239) 293-5829
(239) 236-1200
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2971515
FL
363LF0000X
Family Nurse Practitioner
9271515
FL
Other
Enumeration date
07/28/2015
Last updated
02/01/2023
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