Provider Demographics
NPI:1912653304
Name:BACHMAN, PIERS L (LVN)
Entity Type:Individual
Prefix:MR
First Name:PIERS
Middle Name:L
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3656 OLD ARCATA RD SPC 48
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-9452
Mailing Address - Country:US
Mailing Address - Phone:707-502-8617
Mailing Address - Fax:
Practice Address - Street 1:826 4TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0516
Practice Address - Country:US
Practice Address - Phone:707-441-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA690543164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse