TAMARA SUE BACH (NPI# 1346745205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346745205 |
| Entity Type | Individual |
| Full Name | TAMARA SUE BACH |
| Credential | FNP-BC |
| Practice Address |
195 Feather Way Ste 100 Evanston WY 82930-9352 |
| Practice Telephone | 3072009200 |
| Practice Fax Number | 3072004808 |
| Mailing Telephone | 3072009200 |
| Mailing Fax Number | 3072004808 |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2018-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
22296.1641 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
195 FEATHER WAY STE 100 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-9352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503459 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Ste 100, Evanston, WY 82930-9352 | 2015-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240036 | James Daniel Clark | Clinical Nurse Specialist | 1325 Sanders Dr, Laramie, WY 82070-8204 | 2020-09-17 |
| 1790160679 | Kristi D Roybal | Clinical Nurse Specialist | 4136 Laramie St Ste A, Cheyenne, WY 82001-1969 | 2015-07-21 |
| 1710413141 | Gerald Albert Walker Jr. | Clinical Nurse Specialist | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-04 |
| 1407265515 | Amanda Mcintire | Clinical Nurse Specialist | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-08-04 |
| 1093091381 | Melanie A Kawulok | Clinical Nurse Specialist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2011-10-31 |
Please comment or provide details below to improve the information on TAMARA SUE BACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.