Individual provider · Type 1 NPI
Tony Bastar, NP
Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI number
1992490254
Active
Practice location
58 W Chrisfield Dr
Meridian, ID 83646-3255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 56825 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1992490254
Tony Bastar, NP's National Provider Identifier is 1992490254, issued on Apr 11, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Meridian, ID. The record was last updated on Apr 12, 2023.