| Doctor Name: | ALEXANDRA JEAN BACHE |
| NPI Number: | 1073919197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | C0005621 |
| Business Practice Address: | 3510 Old Washington Rd Waldorf, MD - 206023233 |
| Business Phone Number: | 3019325890 |
| Business Fax Number: | |
| Mailing Address: | 800 S Washington St, Aptartment B102 ALEXANDRIA |
| State: | VA |
| Postal Code: | 223144259 |
| Phone Number: | 7176868532 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2014 |
| NPI Last Update Date: | 11/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C0005621 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |