Individual provider · Type 1 NPI

Miriam Anne Bastian, APRN

Neonatal Nurse Practitioner · Provo, UT

NPI number 1043492838 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Call (801) 357-7707 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 100 N Medical Dr, Salt Lake City, UT 84113-1103 · (801) 662-4100

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X332318-4405 (UT)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1043492838

Miriam Anne Bastian, APRN's National Provider Identifier is 1043492838, issued on Dec 4, 2007. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Provo, UT. The record was last updated on Apr 20, 2026.