Provider Demographics
NPI:1437366200
Name:BACHMAN, YVONNE LOU (RD)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:LOU
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1390 GULF BLVD
Mailing Address - Street 2:#1202
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33767-2882
Mailing Address - Country:US
Mailing Address - Phone:727-595-8183
Mailing Address - Fax:727-595-8183
Practice Address - Street 1:300 PINELLAS ST
Practice Address - Street 2:MS 45
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3804
Practice Address - Country:US
Practice Address - Phone:727-462-7458
Practice Address - Fax:337-462-7912
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLLD156133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic