Caitlyn Jeanette Bastable, NP
Nurse Practitioner, Primary Care in Fort Worth, TX. Individual provider (NPI-1).
NPI number1487126306
StatusActive
Last updated in NPPESOct 1, 2024
Details
- NPI
- 1487126306
- Entity type
- Individual (NPI-1)
- Name
- Caitlyn Jeanette Bastable
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2018
- Certification date
- Oct 1, 2024
- Last updated
- Oct 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | AP139872 | TX | Yes |
Practice location
801 7th AveFort Worth, TX 76104-2733
Phone 682-885-3953 · Fax 682-885-7445
Mailing address
Po Box 733784Dallas, TX 75373-3784
Phone 682-885-1860 · Fax 682-885-1396
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