MEDICARE: MS. SHARON ANNE BACHMAN ARNP

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
1	163W00000X	Registered Nurse	00161475	WA
2	363LF0000X	Family Nurse Practitioner	60117232	WA

General Provider Information

NPI Number	:	1942527007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON ANNE BACHMAN ARNP

Provider Business Mailing Address
First Line	:	33 ROCK HILL RD STE 350
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-2055
Country	:	US
Telephone Number	:	610-949-9210
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 ROCK HILL RD STE 350
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-2055
Country	:	US
Telephone Number	:	610-949-9210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	04/29/2010

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