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Ms. Breanna Lea Bach, LPN
Licensed Practical Nurse in Shakopee, Minnesota
NPI 1104113349

Breanna Lea Bach is a Licensed Practical Nurse based in Shakopee, MN. Breanna Lea Bach practices in Shakopee, MN and has the professional credentials of LPN. The NPI Number for Breanna Lea Bach is 1104113349 and holds a License No. L 69958-9 (Minnesota).

The current practice location address for Breanna Lea Bach is 1962 Cardinal Dr, Shakopee, MN and can be reached out via phone at 612-619-1567. You can also correspond with Breanna Lea Bach through the mailing address at 1962 CARDINAL DR, SHAKOPEE, MN - 55379-4418 (mailing address contact number: ).

Location: 1962 Cardinal Dr, Shakopee, MN, 55379-4418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104113349
Provider Name
Breanna Lea Bach
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1962 Cardinal Dr, Shakopee, MN, 55379-4418
Phone Number
612-619-1567
Fax Number
Provider Enumeration Date
07/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1962 Cardinal Dr
City
Shakopee
State
Minnesota
Zip
55379-4418
Phone Number
612-619-1567
Fax Number
person
Provider Business Mailing Address Details
Address
1962 Cardinal Dr
City
Shakopee
State
Minnesota
Zip
55379-4418
Phone Number
612-619-1567
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L 69958-9 (Minnesota)
Definition
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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