Provider Demographics
NPI:1619548419
Name:BACHELOR, KATJA (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATJA
Middle Name:
Last Name:BACHELOR
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 1:803 NELSON RANCH RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4264
Mailing Address - Country:US
Mailing Address - Phone:512-547-7490
Mailing Address - Fax:
Practice Address - Street 1:803 NELSON RANCH RD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4264
Practice Address - Country:US
Practice Address - Phone:512-547-7490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based