Individual
SANDRA BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.P.
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-5090
(262) 257-5005
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-5090
(262) 257-5005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5546-33
WI
364SP1700X
Perinatal Clinical Nurse Specialist
2010002888
WI
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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