KAYLEEN BASTIAANSE

TORRINGTON, CT
NPI1669483533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  001974)
Enumeration Date2006-08-10
Last Update Date2007-10-04
Business Address
Ms. KAYLEEN BASTIAANSE APRN
538 LITCHFIELD ST SUITE 103
TORRINGTON, CT 06790-6669
Phone number: 860-489-5148
Mailing Address
Ms. KAYLEEN BASTIAANSE APRN
4 FARM SPRINGS RD PROHEALTH PHYSICIANS
FARMINGTON, CT 06032-2573
Phone number: 860-284-5200