Individual provider · Type 1 NPI

Mary Elizabeth Bastian

Student in an Organized Health Care Education/Training Program · Tempe, AZ

NPI number 1396351805 Active

Practice location

1730 S Mill Ave
Tempe, AZ 85281-6600

Call (480) 967-1661 Map

Mailing address

4950 E Van Buren St Apt 372
Phoenix, AZ 85008-7054

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

2 other providers at this address

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About NPI 1396351805

Mary Elizabeth Bastian's National Provider Identifier is 1396351805, issued on Sep 20, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tempe, AZ. The record was last updated on Sep 20, 2020.