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NPI Profile for GLENDA BASTIN in ELIZABETHTOWN, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X | |||
Registered Nurse |
163W00000X |
| NPI Number | 1639624893 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 08/17/2016 | |
| Last updated | 08/17/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GLENDA BASTIN
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GLENDA BASTIN, RN