Corine M Bastien APN

NPI 1548594781 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1548594781
Gender Female
Enumeration Date 09/21/2009
Last Updated 09/21/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3522 W LISBON AVE
MILWAUKEE WI, 53208-1953, US
Phone (414) 935-8000
Fax (414) 935-8011
Business Location
3522 W LISBON AVE
MILWAUKEE WI, 53208-1953, US
Phone (414) 935-8000
Fax (414) 935-8011
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 3844-33
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According to our database, Corine M Bastien APN NPI is 1548594781, taxonomy code is 363L00000X and license number is 3844-33, license state is located at Wisconsin. Corine M Bastien APN physically located at 3522 W Lisbon Ave, Milwaukee WI, 53208-1953. NPI Number Corine M Bastien APN has the Individual type.

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1548594781 NPI number is provided on an as is basis without warranty of any kind. 1548594781 is maintained by the National Plan & Provider Enumeration System. The contents of Corine M Bastien APN are for informational purposes only.