Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP020964 | PA |
NPI | 1023651668 |
---|---|
Provider Name | Andrea Bachman |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-5024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2019 |
Last Update Date | 21/12/2021 |