Individual
CAROL BACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
895 S ARLINGTON AVE, HARRISBURG, PA 17109-5004
(717) 658-7616
(717) 652-8379
Mailing address
895 S ARLINGTON AVE, HARRISBURG, PA 17109-5004
(717) 658-7616
(717) 652-8379
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
UP-000444-D
PA
Other
Enumeration date
03/28/2006
Last updated
12/07/2011
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