MEDICARE: ANN MARIE BACHER FNP-C, PMHNP-BC

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	363LF0000X	Family Nurse Practitioner	25446	TN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	25446	TN

General Provider Information

NPI Number	:	1952865842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE BACHER FNP-C, PMHNP-BC

Provider Business Mailing Address
First Line	:	2497 S ROANE ST STE 110
Second Line	:
City	:	HARRIMAN
State	:	TN
Zip	:	37748-8666
Country	:	US
Telephone Number	:	865-599-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2497 S ROANE ST STE 110
Second Line	:
City	:	HARRIMAN
State	:	TN
Zip	:	37748-8666
Country	:	US
Telephone Number	:	865-599-0300
Fax Number	:

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

Provider Enumeration Date	:	01/25/2019
Last Update Date	:	09/23/2022

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