Provider Demographics
NPI:1720392210
Name:BACHINI, STEVEN J (RN, FNP)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:BACHINI
Suffix:
Gender:M
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:LAME DEER
Mailing Address - State:MT
Mailing Address - Zip Code:59043-0070
Mailing Address - Country:US
Mailing Address - Phone:406-477-4400
Mailing Address - Fax:406-477-4427
Practice Address - Street 1:420 N CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:LAME DEER
Practice Address - State:MT
Practice Address - Zip Code:59043-5198
Practice Address - Country:US
Practice Address - Phone:406-477-4488
Practice Address - Fax:406-477-3153
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT39736163W00000X
MTNUR-APRN-LIC-213686363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse