Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SURAJA SHRESTHA BASTOLA, DNP
Active Sole ProprietorSURAJA SHRESTHA BASTOLA, DNP is a Nurse Practitioner healthcare provider located in MEDFORD, Oregon. NPI 1407566771 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · MEDFORD, OR
Registration Details
- NPI Number
- 1407566771
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2022 (3.6827316495988 yrs)
- Last Updated
- Dec 5, 2023
- Licenses
-
201907141RN (OR)10006717 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2845 MORNING VIEW DRMEDFORD, OR, 975045944Browse OR providers · Browse ZIP 97504
- Phone
- 2485712787
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. BOBBIE J SMITH-EDE | FNP | 1285631648 |
| NANCY J. KEELEY | FNP | 1588661912 |
| DEIDRE GOLDBERG | FNP | 1407844525 |
| MS. CYNTHIA I HUTTON | FNP | 1295715639 |
| MS. JEANI G BUHL | FNP | 1790755031 |
| MS. LOIS E HAUCH | FNP | 1801868195 |
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.