=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225995145
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARY E BACHKO ARNP, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2026
-----------------------------------------------------
Last Update Date | 01/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 205 S PARK ST
-----------------------------------------------------
City | CHEWELAH
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-936-9159
-----------------------------------------------------
Fax | 509-936-9160
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 205 S PARK ST
-----------------------------------------------------
City | CHEWELAH
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-936-9159
-----------------------------------------------------
Fax | 509-936-9160
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MARY BACHKO
-----------------------------------------------------
Credential | ARNP
-----------------------------------------------------
Telephone | 509-684-3584
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367A00000X
-----------------------------------------------------
Taxonomy Name | Advanced Practice Midwife
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------