Provider Demographics
NPI:1780859868
Name:BACHMAN, GAIL LYNN (NP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:LYNN
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7011 EAST AVE
Mailing Address - Street 2:BLDG 925 MS 9112
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-9610
Mailing Address - Country:US
Mailing Address - Phone:925-294-2700
Mailing Address - Fax:925-294-2392
Practice Address - Street 1:7011 EAST AVE
Practice Address - Street 2:BLDG 925, MS 9112
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-9610
Practice Address - Country:US
Practice Address - Phone:925-294-2700
Practice Address - Fax:925-294-2392
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA305104364SX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0106XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOccupational Health