Individual
LAUREN BACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
1101 SAM PERRY BLVD, SUITE 401, FREDERICKSBURG, VA 22401-4467
(540) 940-2000
Mailing address
18315 CONGRESSIONAL CIR, RUTHER GLEN, VA 22546-2957
(804) 405-3030
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0024173062
VA
367A00000X
Advanced Practice Midwife
Primary
0024173062
VA
Other
Enumeration date
11/18/2015
Last updated
03/19/2019
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