Individual
MRS. MICHELLE ANN BACKFISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2102 MAIN ST, SCOTT CITY, MO 63780-1337
(573) 264-0042
Mailing address
1318A MAIN ST, SCOTT CITY, MO 63780-1937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019024732
MO
Other
Enumeration date
07/02/2019
Last updated
07/06/2020
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