Healthcare Provider Details

I. General information

NPI: 1912998154
Provider Name (Legal Business Name): LINDA BACHMAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 12/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 TOWN CENTER DRIVE
YORK PA
17408
US

IV. Provider business mailing address

1803 MOUNT ROSE AVE STE B3
YORK PA
17403-3026
US

V. Phone/Fax

Practice location:
  • Phone: 717-356-4240
  • Fax: 717-356-4241
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-637-2245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTP004109B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: