Individual
TAMARA SUE BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
195 FEATHER WAY STE 100, EVANSTON, WY 82930-9352
(307) 200-9200
(307) 200-4808
Mailing address
195 FEATHER WAY STE 100, EVANSTON, WY 82930-9352
(307) 200-9200
(307) 200-4808
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
22296.1641
WY
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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