Healthcare Provider Details

I. General information

NPI: 1770632069
Provider Name (Legal Business Name): IONE M BACHMAN CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 CEDARWOOD DR STE 200
MUSCATINE IA
52761-2659
US

IV. Provider business mailing address

2104 CEDARWOOD DR STE 200
MUSCATINE IA
52761-2659
US

V. Phone/Fax

Practice location:
  • Phone: 563-263-4848
  • Fax: 563-263-3332
Mailing address:
  • Phone: 563-263-4848
  • Fax: 563-263-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number063845
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: