Miriam Anne Bastian , APRN
Nurse Practitioner - Neonatal • Provo, UT
Professional Overview & Biography Verified Profile Summary
Miriam Bastian, APRN is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Provo, UT. Practice services are available at 1034 N 500 W under active NPI credentials.
Practice Location & Contact Primary Location
1034 N 500 W
Provo, UT 846043380
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner - Neonatal in Provo, UT
Practicing in Provo, UT (88 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-04-20NUCC Taxonomy Code: 363LN0000X
Definition to come...
Secondary Practice Locations
100 N Medical Dr
Salt Lake City, UT 841131103
Phone: 8016624100
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Advanced Practice Registered Nurse
Nurse Practitioner - Neonatal
Pediatrics - Neonatal-Perinatal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Neonatal
Advanced Practice Registered Nurse
Nurse Practitioner
Registered Nurse, Nurse Practitioner
Pediatrics - Neonatal-Perinatal Medicine
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577707)
Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128
Nurse Practitioner (License #332318-4405 in UT)
NPI status registered as active in NPPES database
Registered at 100 N MEDICAL DR, SALT LAKE CITY, UT 841131103 (Tel: 8016624100)
Registered at 11658 PALE MOON LN, SOUTH JORDAN, UT 840955054
Recorded as MIRIAM BASTIAN, APRN
Nurse Practitioner (License #3323184405 in UT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 27128
Salt Lake City, UT 841270128
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