Breanna Lea Bach, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Shakopee, MN

NPI

1104113349

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L 69958-9 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2011-07-08

Last updated

2011-07-08