Individual
RYAN PHILLIP BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-PMHNP
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8900
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202817
ND
Other
Enumeration date
07/21/2025
Last updated
03/23/2026
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