Individual provider · Type 1 NPI

Breanna Lea Bach, LPN

Licensed Practical Nurse · Shakopee, MN

NPI number 1104113349 Active

Practice location

1962 Cardinal Dr
Shakopee, MN 55379-4418

Call (612) 619-1567 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL 69958-9 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104113349

Breanna Lea Bach, LPN's National Provider Identifier is 1104113349, issued on Jul 8, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shakopee, MN. The record was last updated on Jul 8, 2011.