Nicole Backus
Nicole Backus is a Student in an Organized Health Care Education/Training Program in Watertown, New York. Licensed in New York. Registered with an NPI since 2022.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
613 Mohawk StWatertown, NY 13601-1112
Phone: (315) 247-1650
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NY) |
|---|
Record details
| NPI number | 1669102570 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 14, 2022 |
| Last updated in NPPES | June 14, 2022 |
| Certification date | June 14, 2022 |
| Mailing address | 613 Mohawk St, Watertown, NY 13601-1112 |
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