Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willie Deandrea Backstrom

Individual provider Community Health Worker · NPI 1194507780

Willie Deandrea Backstrom is a Community Health Worker in Burton, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1330 Kenneth St
Burton, MI 48529-2206
Phone: (810) 744-2506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1194507780
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address1330 Kenneth St, Burton, MI 48529-2206

Other providers in Burton