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Nicole Backus
Student in an Organized Health Care Education/Training Program in Watertown, New York
NPI 1669102570

Nicole Backus is a Student in an Organized Health Care Education/Training Program based in Watertown, NY. Nicole Backus practices in Watertown, NY. The NPI Number for Nicole Backus is 1669102570 and holds a License No. (New York).

The current practice location address for Nicole Backus is 613 Mohawk St, Watertown, NY and can be reached out via phone at 315-247-1650.

Location: 613 Mohawk St, Watertown, NY, 13601-1112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669102570
Provider Name
Nicole Backus
Credential
Provider Entity Type
Individual
Gender
Female
Address
613 Mohawk St, Watertown, NY, 13601-1112
Phone Number
315-247-1650
Fax Number
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
613 Mohawk St
City
Watertown
State
New York
Zip
13601-1112
Phone Number
315-247-1650
Fax Number
person
Provider Business Mailing Address Details
Address
613 Mohawk St
City
Watertown
State
New York
Zip
13601-1112
Phone Number
315-247-1650
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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