Individual
MARGARET ELAINE BACKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
702 S 13TH ST, LANETT, AL 36863-2834
(334) 644-3111
Mailing address
3090 HOPEWELL RD, VALLEY, AL 36854-6109
(706) 518-5441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3-001849
AL
363LF0000X
Family Nurse Practitioner
RN263766
GA
Other
Enumeration date
06/24/2024
Last updated
10/10/2024
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