TANIS BAST

Nurse Practitioner - Family

Active Individual
NPI: 1295193274

Practice Address

1935 PRAIRIE DELL RD STE 500
Union, MO 63084

Phone: (636) 649-3080

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 2016023261 (MO)

Frequently Asked Questions

NPI 1295193274 is the National Provider Identifier for TANIS BAST, a Nurse Practitioner - Family provider located in Union, MO. This NPI was enumerated on February 4, 2016.
TANIS BAST practices at 1935 PRAIRIE DELL RD STE 500, Union, MO 63084.

Quick Facts

NPI
1295193274
Type
Individual
Enumerated
Feb 4, 2016
Last Updated
Jun 25, 2024

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