Shelby Bach, FNP-C
Nurse Practitioner, Family in Maryville, TN. Individual provider (NPI-1).
NPI number1316601909
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1316601909
- Entity type
- Individual (NPI-1)
- Name
- Shelby Bach
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2021
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 30481 | TN | Yes |
| 163WN0002X | Registered Nurse, Neonatal Intensive Care | 224204 | TN |
Practice location
2925 Carpenters Grade RdMaryville, TN 37803-2618
Phone 865-292-3855
Mailing address
2925 Carpenters Grade RdMaryville, TN 37803-2618
Phone 865-292-3855
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