Individual
DIANE MARIE BACKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4700 INDIAN CREEK PKWY, OVERLAND PARK, KS 66207-4068
(913) 660-1616
Mailing address
10540 MARTY ST, STE 100, OVERLAND PARK, KS 66212-2551
(913) 660-1616
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2009036280
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
53-75073-041
KS
Other
Enumeration date
02/03/2010
Last updated
08/24/2016
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