Individual provider · Type 1 NPI

Clarence Jason Vastine, FNP-C

Family Nurse Practitioner · Goodyear, AZ

NPI number 1902121379 Active

Practice location

13555 W Mcdowell Rd Ste 103
Goodyear, AZ 85395-2625

Call (623) 932-1157 Map

Fax (623) 935-1045

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP3558 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1902121379

Clarence Jason Vastine, FNP-C's National Provider Identifier is 1902121379, issued on Mar 29, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Goodyear, AZ. The record was last updated on Aug 1, 2024.