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MRS. MICHELLE ANN BACKFISCH CNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1639731474

Individual Registrant:
MRS. MICHELLE ANN BACKFISCH CNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2102 MAIN ST  SCOTT CITY, MO 63780-1337 US
Tel: 573-264-0042  Fax: --

Contact information for business:
1318A MAIN ST  SCOTT CITY, MO 63780-1937 US
Tel: --  Fax: --

Registration Information:
NPI: 1639731474
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MO2019024732

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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