Individual
MS. MARY ELIZABETH BACHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADVANCE PRACTICE REG
Contact information
Practice address
150 S ELM ST, COLVILLE, WA 99114-2834
(509) 684-3584
(509) 684-3852
Mailing address
150 S ELM ST, COLVILLE, WA 99114-2834
(509) 684-3584
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60003928
WA
367A00000X
Advanced Practice Midwife
AP30003374
WA
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9617069
DSHS #
WA
Enumeration date
12/02/2005
Last updated
07/22/2025
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