Most Relevant Information
Provider Data
| NPI Number: | 1003570912 |
| Provider Name: | ANDRIY BASHTA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | SP024626 |
Most Important Dates
| Enumeration Date: | 10/26/2021 |
| Last Updated: | 10/26/2021 |
Provider Practice Location
1200 OLD YORK RD
ABINGTON
PA
190013720
Practice Location Phone/Fax
| Phone: | 2154813145 |
| Fax: |
Provider Mailing Location
1531 GREGG ST UNIT A
PHILADELPHIA
PA
191154283
Provider Mailing Phone/Fax
| Phone: | 2154367006 |
| Fax: |