Whalio Doctors

NPI 1477529600

Susan Margaret Bacheller, CPNP

Practitioner Pediatric Nurse Practitioner Fort Gratiot, MI

Practice location

Address
4190 24th Ave STE 204, Fort Gratiot, MI 48059-3884
Phone
(810) 216-1000
Fax
(810) 216-3138

Registered specialties

Pediatric Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 4704136802 (MI)

Registry record

NPI
1477529600
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Feb 2006
Record last updated
8 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.