Provider Demographics
NPI:1912998154
Name:BACHMAN, LINDA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:STE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-637-2245
Practice Address - Street 1:717 TOWN CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408
Practice Address - Country:US
Practice Address - Phone:717-356-4240
Practice Address - Fax:717-356-4241
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP004109B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1541752Medicaid
MD1899859OtherMARYLAND BC/BS
PA1576645OtherGATEWAY MEDICARE ASSURED
PA1836604OtherHIGHMARK BLUE SHIELD - FREEDOM BLUE
MD1899859OtherMARYLAND BC/BS
PA1576645OtherGATEWAY MEDICARE ASSURED
S49103Medicare UPIN
PA1836604OtherHIGHMARK BLUE SHIELD - FREEDOM BLUE