Jeremiah E Bast, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · Victoria, TX

NPI

1790270106

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

AP137843 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2018-06-27

Last updated

2020-08-27