Provider Demographics
NPI:1770632069
Name:BACHMAN, IONE M (CRNFA)
Entity Type:Individual
Prefix:
First Name:IONE
Middle Name:M
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 CEDARWOOD DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2659
Mailing Address - Country:US
Mailing Address - Phone:563-263-4848
Mailing Address - Fax:563-263-3332
Practice Address - Street 1:2104 CEDARWOOD DR
Practice Address - Street 2:STE 200
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2659
Practice Address - Country:US
Practice Address - Phone:563-263-4848
Practice Address - Fax:563-263-3332
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA063845364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA063845OtherREGISTERED NURSE