MIRIAM ANNE BASTIAN

PROVO, UT
NPI1043492838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: UT  332318-4405)
Enumeration Date2007-12-03
Last Update Date2026-04-20
Business Address
MIRIAM ANNE BASTIAN aprn
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7707
Mailing Address
MIRIAM ANNE BASTIAN aprn
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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