Individual provider · Type 1 NPI

Tanis Bast

Family Nurse Practitioner · Union, MO

NPI number 1295193274 Active

Practice location

1935 Prairie Dell Rd Ste 500
Union, MO 63084-4329

Call (636) 649-3080 Map

Fax (636) 649-3081

Mailing address

PO Box 776084
Chicago, IL 60677-6084

Other practice locations

  • 301 Theresa St, Cuba, MO 65453-1636 · (573) 677-2006

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2016023261 (MO)

Family Nurse Practitioner: Definition to come...

Other family nurse practitioner providers in Union

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About NPI 1295193274

Tanis Bast's National Provider Identifier is 1295193274, issued on Feb 4, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Union, MO. The record was last updated on Jun 25, 2024.