MIRIAM ANNE BASTIAN

SALT LAKE CITY, UT
NPI1043492838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: UT  3323184405)
Enumeration Date2007-12-04
Last Update Date2021-09-29
Business Address
MIRIAM ANNE BASTIAN aprn
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-4100
Mailing Address
MIRIAM ANNE BASTIAN aprn
11658 PALE MOON LN
SOUTH JORDAN, UT 84095-5054
Phone number:
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