Provider Demographics
NPI:1174905376
Name:MARY E BACHKO, ARNP, PLLC
Entity type:Organization
Organization Name:MARY E BACHKO, ARNP, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BACHKO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-342-7411
Mailing Address - Street 1:9803 E SPRAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-3645
Mailing Address - Country:US
Mailing Address - Phone:509-342-7411
Mailing Address - Fax:509-342-7413
Practice Address - Street 1:9803 E SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-3645
Practice Address - Country:US
Practice Address - Phone:509-342-7411
Practice Address - Fax:509-342-7413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty