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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRICIA BASTIAN

Active Sole Proprietor

TRICIA BASTIAN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in WALKER, Minnesota. NPI 1295291573 is currently active in the NPPES registry. Verify at CMS.

Emotionally Disturbed Children Residential Treatment · WALKER, MN

Registration Details

NPI Number
1295291573
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2019 (7.5471102995746 yrs)
Last Updated
Feb 12, 2019
License
1098115 (MN)
Sole Proprietor
Yes

Practice Information

Address
607 4TH ST S
WALKER, MN, 564846400
Browse MN providers · Browse ZIP 56484
Phone
2182511365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.