Bastian, Maya

Bastian, Maya is an individual health care provider with primary practice located at 12220 Travois Rd , Eden Prairie MN 55347-4241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bastian, Maya can be contacted via phone (952) 942-3803.

Contact Information

Primary practice address
12220 Travois Rd Eden Prairie MN 55347-4241
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20172669 Minnesota

Profile Details

NPI number 1740799246
LBN Legal business name Bastian, Maya
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2017
Last updated Sep 27th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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