MR. ADAM BASTILLE FNP-C NPI 1225681398

NPI Information

MR. Adam Bastille, FNP-C is a family nurse practitioner in St Petersburg, FL with 5 years of experience. MR. Adam Bastille, FNP-C NPI is 1225681398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2116 34TH ST S
ST PETERSBURG, FL
ZIP 33711-224
Phone: (727) 321-3854

The NPI 1225681398 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2019 and was last updated on 3/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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