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Provider Information for 1528026192

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

HEATHER J BASTARDI NP

Gender: FEMALE

Individual NPI: 1528026192

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1528026192
Enumeration Date 2006-05-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 168 S PLEASANT ST
HINGHAM, MA 02043-4422
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-7659 | Fax: 617-734-9930
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363L00000X - Nurse Practitioner MA 224281