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Shannon Lynn Backstrom, CNP
Perinatal Nurse Practitioner in Sioux Falls, South Dakota
NPI 1093787616

Shannon Lynn Backstrom is a Perinatal Nurse Practitioner based in Sioux Falls, SD and is specialized in Perinatal. Shannon Lynn Backstrom practices in Sioux Falls, SD and has the professional credentials of CNP. The NPI Number for Shannon Lynn Backstrom is 1093787616 and holds a License No. CP000442 (South Dakota).

The current practice location address for Shannon Lynn Backstrom is 1417 S. Cliff Ave., Sioux Falls, SD and can be reached out via phone at 605-322-8937 and via fax at 605-322-8938.

Location: 1417 S. Cliff Ave., Sioux Falls, SD, 57118-6370
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Provider Profile Details
NPI Number
1093787616
Provider Name
Shannon Lynn Backstrom
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
1417 S. Cliff Ave., Sioux Falls, SD, 57118-6370
Phone Number
605-322-8937
Fax Number
605-322-8938
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2387949 01 SD ARAZ/ AMERICA'S PPO
400070600 05 MN
83G56BE 01 MN CC SYSTEMS/ BLUE PLUS
283761045259 01 SD PREFERRED ONE
9244760 01 SD DAKOTACARE
HP55697 01 SD HEALTHPARTNERS
0407827 01 SD MEDICA
0503706 05 IA
57105AD05 01 SD WPS TRICARE
6828300 05 SD
10025040700 05 NE
248007 01 SD BLUE CROSS
370624200 01 SD DEPT OF LABOR
6828302 05 SD
83G56BE 01 MN BLUE CROSS
924114229808 01 MN PRIMEWEST
248007 01 SD MIDLANDS CHOICE
institution
Provider Business Practice Location Address Details
Address
1417 S. Cliff Ave.
City
State
Zip
57105-1063
Phone Number
605-322-8937
Fax Number
605-322-8938
person
Provider Business Mailing Address Details
Address
1417 S. Cliff Ave.
City
State
Zip
57105-1063
Phone Number
605-322-8937
Fax Number
605-322-8938
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Perinatal
Taxonomy
License No.
CP000442 (South Dakota)
Definition
Definition to come...
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