Individual provider · Type 1 NPI

Brianne Larsen Bastian

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1134499437 Active

Practice location

750 N 200 W Ste 300
Provo, UT 84601-1690

Call (801) 373-4760 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X173414431 (UT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134499437

Brianne Larsen Bastian's National Provider Identifier is 1134499437, issued on Jan 4, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Jan 4, 2012.