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NPI Code Detail

MEDICARE: LINDA ANNE BACHMAN APRN, PMHNP

MEDICARE: LINDA ANNE BACHMAN APRN, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26367SC

General Provider Information

NPI Number : 1619161395
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA ANNE BACHMAN APRN, PMHNP
Provider Business Mailing Address
First Line : 608 16TH AVE N STE G
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29577-3537
Country : US
Telephone Number : 843-501-1099
Fax Number :
Provider Business Practice Location Address
First Line : 608 16TH AVE N STE G
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29577-3537
Country : US
Telephone Number : 843-501-1099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 01/26/2024

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