Individual
MS. STACEY OUTTEN BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LJ0000279
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UPOO5467D
CRNP LICENSE NUMBER
PA
Enumeration date
06/03/2006
Last updated
05/12/2016
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