NPI 1790723674 · live from the CMS NPI Registry
Stacey Outten Bachman, CRNP
Nurse Practitioner in Wilmington, DE. National Provider Identifier 1790723674, active.
NPI record
| NPI | 1790723674 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1600 Rockland Rd, Wilmington, DE 19803 |
| Practice phone | 302-651-4200 |
| Mailing address | Po Box 191, Rockland, DE 19732 |
| Enumerated | June 3, 2006 |
| Last updated | May 12, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | LJ0000279 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.