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SUSAN BASTA, APRN
APRN
Nurse Practitioner
NPI: 1952491581IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
212263-4405(UT)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 1983
Contact & Hours
- Address
- 546 E CHIPETA WAY STE 220
SALT LAKE CITY, UT 84108 - Phone
- (801) 581-7172
Quick Facts
- NPI
- 1952491581
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 43
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