Individual
MELISSA ALEXANDRA BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2350 N ROCKTON AVE, ROCKFORD, IL 61103-3600
(815) 971-3613
Mailing address
2350 N ROCKTON AVE, ROCKFORD, IL 61103-3600
(815) 971-2720
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209023179
IL
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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