DANIELLA BACK
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1073275202
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 10031096 (OR) |
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | 10031096 (OR) |
Frequently Asked Questions
NPI 1073275202 is the National Provider Identifier for DANIELLA BACK, a Nurse Practitioner - Primary Care provider located in Salem, OR. This NPI was enumerated on October 5, 2021.
DANIELLA BACK practices at 5050 SKYLINE VILLAGE LOOP S, Salem, OR 97306.
Quick Facts
- NPI
- 1073275202
- Type
- Individual
- Enumerated
- Oct 5, 2021
- Last Updated
- Aug 12, 2024
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