Individual provider · Type 1 NPI

Genevieve T. Bastos, PMHNP

Nurse Practitioner · Portage, MI

NPI number 1902843774 Active

Practice location

7895 Currier Dr Ste 100
Portage, MI 49002-4314

Call (269) 910-7327 Map

Fax (269) 910-7328

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Other practice locations

300 68th St SE, Grand Rapids, MI 49548-6927 · (616) 455-5270

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	4704216473 (MI)
Pediatric Nurse Practitioner	363LP0200X	4704216473 (MI)
Nurse Practitioner Primary	363L00000X	4704216473 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

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About NPI 1902843774

Genevieve T. Bastos, PMHNP's National Provider Identifier is 1902843774, issued on Jun 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portage, MI. The record was last updated on Sep 14, 2026.