Stacey Marie Bast
Stacey Marie Bast is a Licensed Practical Nurse in Edwardsville, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
223 Garden StEdwardsville, IL 62025-1974
Phone: (314) 420-9576
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 043-087181 (IL) |
|---|
Record details
| NPI number | 1578105367 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 13, 2019 |
| Last updated in NPPES | October 13, 2019 |
| Mailing address | 153 Chester St, Chester, IL 62233-1755 |