Individual
ELIZABETH BACKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 252-2422
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 252-2422
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5366
MN
Other
Enumeration date
05/25/2017
Last updated
04/05/2023
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