Mary Diane Backstrom in Colville - Diabetes Educator
Mary Diane Backstrom - NPI 1568444628
Mary Diane Backstrom is a Diabetes Educator in Colville, Washington. Mary Diane Backstrom practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for Mary Diane Backstrom is 1568444628. The last update date is 2007-07-08.
Mary Diane Backstrom's current location address is 1200 E Columbia Ave, Colville, Washington. You can contact this provider via phone number 5096843701 and fax number 5096845817. The mailing address for Mary Diane Backstrom is 1200 E Columbia Ave, Colville, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Diane Backstrom |
|---|---|
| Address | 1200 E Columbia Ave, Colville, Washington |
| Phone Number | 5096843701 |
| Fax Number | 5096845817 |
| Sole Proprietor | X |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1568444628 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1200 E Columbia Ave |
|---|---|
| City | Colville |
| State | Washington (WA) |
| Post Code | 991143354 |
| Phone Number | 5096843701 |
| Fax Number | 5096845817 |
Provider's Primary Taxonomy Detail
| Speciality | Diabetes Educator |
|---|---|
| Taxonomy | 163Wd0400X |
| Licence No | RN00130472 |
|
Definition: A registered nurse who teaches diabetes self-management skills. |
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Post Comment/ Review Below
What is the Mary Diane Backstrom's 1568444628?
The Mary Diane Backstrom's NPI (National Provider Identifier) Number is 1568444628. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Diane Backstrom?
The Mary Diane Backstrom is situated at 1200 E Columbia Ave, in the city of Colville, state of WA, with the zip code 991143354.
What is the area of specialization for Mary Diane Backstrom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Diane Backstrom is Diabetes Educator, and the corresponding taxonomy code that categorizes this area of expertise is 163Wd0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568444628 to Mary Diane Backstrom?
The Centers for Medicare & Medicaid Services originally issued the 1568444628 to Mary Diane Backstrom on 2005-11-15.
When was the Mary Diane Backstrom's information last updated?
The Mary Diane Backstrom's information was last updated on 2007-07-08.
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