NPI 1740799246 · live from the CMS NPI Registry
Maya Bastian, CNP
Nurse Practitioner, Pediatrics in Eden Prairie, MN. National Provider Identifier 1740799246, active.
NPI record
| NPI | 1740799246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 12220 Travois Rd, Eden Prairie, MN 55347 |
| Practice phone | 952-942-3803 |
| Enumerated | September 27, 2017 |
| Last updated | September 27, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 20172669 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.