Provider Demographics
NPI:1700344629
Name:BACHE, SARAH F (APRN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:F
Last Name:BACHE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4555
Mailing Address - Country:US
Mailing Address - Phone:802-775-1901
Mailing Address - Fax:802-775-1947
Practice Address - Street 1:147 ALLEN ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701
Practice Address - Country:US
Practice Address - Phone:802-775-1901
Practice Address - Fax:802-775-1947
Is Sole Proprietor?:No
Enumeration Date:2019-03-10
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0024083163WX0003X
VT101.0134371363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient