Provider Demographics
NPI:1326396342
Name:BACHMAN, KRISTEN H (RN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:H
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5946 N BAY RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4603
Mailing Address - Country:US
Mailing Address - Phone:414-964-7469
Mailing Address - Fax:
Practice Address - Street 1:5946 N BAY RIDGE AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-4603
Practice Address - Country:US
Practice Address - Phone:414-964-7469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI69831030163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health