Individual provider · Type 1 NPI
Susan Margaret Bacheller, CPNP
Pediatric Nurse Practitioner · Fort Gratiot, MI
NPI number
1477529600
Active
Practice location
4190 24th Ave Ste 204
Fort Gratiot, MI 48059-3884
Fax (810) 216-3138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704136802 (MI) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Fort Gratiot
About NPI 1477529600
Susan Margaret Bacheller, CPNP's National Provider Identifier is 1477529600, issued on Feb 27, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Gratiot, MI. The record was last updated on Apr 8, 2021.