Individual
NAOMI NOELLE BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 6TH AVE, WORTHINGTON, MN 56187-2202
(507) 372-3271
Mailing address
1018 6TH AVE, PO BOX 997, WORTHINGTON, MN 56187-2202
(507) 372-3271
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
108831
IA
363L00000X
Nurse Practitioner
Primary
R2204752
MN
363LF0000X
Family Nurse Practitioner
A108831
IA
Other
Enumeration date
06/04/2014
Last updated
12/22/2014
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