MAYA BASTIAN

EDEN PRAIRIE, MN
NPI1740799246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN  20172669)
Enumeration Date2017-09-27
Last Update Date2017-09-27
Business Address
MAYA BASTIAN CNP
12220 TRAVOIS RD
EDEN PRAIRIE, MN 55347-4241
Phone number: 952-942-3803
Mailing Address
MAYA BASTIAN CNP
12220 TRAVOIS RD
EDEN PRAIRIE, MN 55347-4241
Phone number: 612-799-1793
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