| Doctor Name: | NAOMI NOELLE BACH |
| NPI Number: | 1003229204 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 108831 |
| Business Practice Address: | 1018 6th Ave Worthington, MN - 561872202 |
| Business Phone Number: | 5073723271 |
| Business Fax Number: | |
| Mailing Address: | 1018 6th Ave, Po Box 997 WORTHINGTON |
| State: | MN |
| Postal Code: | 561872202 |
| Phone Number: | 5073723271 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2014 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0900X |
| License Number: | 108831 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Enterostomal Therapy |
| Taxonomy Definition: | |