Individual
JENNIFER EVELYN BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6269 NORTHWOODS GLEN DR, PARKER, CO 80134-5759
(720) 842-5276
Mailing address
6269 NORTHWOODS GLEN DR, PARKER, CO 80134-5759
(720) 842-5276
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
129232
CO
163WP0200X
Pediatric Registered Nurse
129232
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129232
COLORADO NURSING LICENSE
CO
Enumeration date
09/24/2007
Last updated
09/24/2007
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