Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY DIANE BACKSTROM, RN
ActiveMARY DIANE BACKSTROM, RN is a Diabetes Educator Nurse healthcare provider located in COLVILLE, Washington. NPI 1568444628 is currently active in the NPPES registry. Verify at CMS.
Diabetes Educator Nurse · COLVILLE, WA
Registration Details
- NPI Number
- 1568444628
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2005 (20.777617376225 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RN00130472 (WA)
Practice Information
- Address
-
1200 E COLUMBIA AVECOLVILLE, WA, 991143354Browse WA providers · Browse ZIP 99114
- Phone
- 5096843701
- Fax
- 5096845817
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.