Individual
MS. ANGELA MILLER BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNS
Contact information
Practice address
410 S 5TH ST, MANKATO, MN 56001-4588
(507) 304-4319
(507) 304-4387
Mailing address
317 OAK KNOLL BLVD, MANKATO, MN 56001-2616
(507) 387-3217
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R 155512-7
MN
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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