1. Home
  2. Directory
  3. Minnesota
  4. Shakopee
  5. Licensed Practical Nurse
  6. NPI Profile

MS. BREANNA LEA BACH LPN
NPI 1104113349
Licensed Practical Nurse in Shakopee, MN

Active since July 08, 2011
1962 CARDINAL DR, SHAKOPEE, MN 55379(612) 619-1567 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Breanna Lea Bach Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BREANNA LEA BACH LPN (NPI 1104113349) is an individual licensed practical nurse in Shakopee, Minnesota, licensed in Minnesota (L 69958-9) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1104113349
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. BREANNA LEA BACHCredential: LPN
Location Address1962 CARDINAL DRShakopee, MN 55379-4418
Mailing Address1962 Cardinal DrShakopee, MN 55379-4418
Phone(612) 619-1567
Sole ProprietorNo
Enumeration DateJuly 8, 2011
✔ NPI 1104113349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · L 69958-9
Definition
A licensed practical nurse 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.
1962 CARDINAL DR, Shakopee, MN 55379
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Bach's NPI number?

The NPI number for Breanna Bach is 1104113349. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Breanna Bach located?

Breanna Bach practices at 1962 Cardinal Dr, Shakopee, MN 55379. The listed phone number is (612) 619-1567.

What is Breanna Bach's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Breanna Bach was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.