MAYA BASTIAN CNP
NPI 1740799246
Nurse Practitioner - Pediatrics in Eden Prairie, MN

Q: What is Maya Bastian's NPI number?

The NPI number for Maya Bastian is 1740799246. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Q: What is Maya Bastian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Maya Bastian was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2017

12220 TRAVOIS RD, EDEN PRAIRIE, MN 55347(952) 942-3803 Get Directions Write a Review

NPPES record last updated: September 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maya Bastian Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYA BASTIAN CNP (NPI 1740799246) is an individual pediatrics provider in Eden Prairie, Minnesota, licensed in Minnesota (20172669) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1740799246

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMAYA BASTIANCredential: CNP

Location Address12220 TRAVOIS RDEden Prairie, MN 55347-4241

Mailing Address12220 Travois RdEden Prairie, MN 55347-4241 · (612) 799-1793 · Fax (952) 942-3803

Phone(952) 942-3803

Sole ProprietorNo

Enumeration DateSeptember 27, 2017

✔ NPI 1740799246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MN · 20172669

12220 TRAVOIS RD, Eden Prairie, MN 55347

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maya Bastian's NPI number?

The NPI number for Maya Bastian is 1740799246. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Maya Bastian located?

Maya Bastian practices at 12220 Travois Rd, Eden Prairie, MN 55347. The listed phone number is (952) 942-3803.

What is Maya Bastian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Maya Bastian was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.