Daniella Back
Nurse Practitioner, Primary Care in Salem, Oregon
1073275202- Practice location
- 5050 Skyline Village Loop S, Salem, OR 97306-9490
- Phone
- 503-391-1110
- Fax
- —
- Last updated
- August 12, 2024
Daniella Back is a Nurse Practitioner, Primary Care based in Salem, OR. The NPI number for Daniella Back is 1073275202 and holds license No. 10031096 (OR). The current practice location address is 5050 Skyline Village Loop S, Salem, OR 97306-9490 and the office can be reached by phone at 503-391-1110. The NPI was assigned on October 5, 2021 and the record was last updated in NPPES on August 12, 2024.
●Provider Profile Details
- NPI Number
- 1073275202
- Provider Name
- Daniella Back
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Enumeration Date
- October 5, 2021
- Last Update Date
- August 12, 2024
- Certification Date
- August 12, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 5050 Skyline Village Loop S
Salem, OR 97306-9490 - City
- Salem
- State
- Oregon
- ZIP
- 97306-9490
- Country
- US
- Phone Number
- 503-391-1110
✉Business Mailing Address
- Address
- 5050 Skyline Village Loop S
Salem, OR 97306-9490 - City
- Salem
- State
- OR
- ZIP
- 97306-9490
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | No | 10031096 | OR |
| Nurse Practitioner, Primary Care | 363LP2300X | Yes | 10031096 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Salem, OR
View all providers in Salem →?Frequently Asked Questions
What is the NPI number of Daniella Back?
The NPI number of Daniella Back is 1073275202. It was assigned on October 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Daniella Back?
Daniella Back is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X) and holds license No. 10031096 (OR).
Where does Daniella Back practice?
The practice location is 5050 Skyline Village Loop S, Salem, OR 97306-9490. The office can be reached at 503-391-1110 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073275202 directly on the NPPES registry website at npiregistry.cms.hhs.gov.