TANIS BAST

UNION, MO
NPI1295193274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2016023261)
Enumeration Date2016-02-04
Last Update Date2024-06-25
Business Address
TANIS BAST
1935 PRAIRIE DELL RD STE 500
UNION, MO 63084-4329
Phone number: 636-649-3080
Mailing Address
TANIS BAST
PO BOX 776084
CHICAGO, IL 60677-6084
Phone number: 636-649-3080
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