Individual provider · Type 1 NPI

Shannon Lynn Backstrom, CNP

Perinatal Nurse Practitioner · Sioux Falls, SD

NPI number 1093787616 Active

Practice location

1417 S. Cliff Ave., Ste. 100
Sioux Falls, SD 57105-1063

Fax (605) 322-8938

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370

Specialties and licenses

TaxonomyCodeLicense
Perinatal Nurse Practitioner Primary 363LP1700XCP000442 (SD)

Perinatal Nurse Practitioner: Definition to come...

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About NPI 1093787616

Shannon Lynn Backstrom, CNP's National Provider Identifier is 1093787616, issued on Feb 7, 2006. The primary taxonomy on file is Perinatal Nurse Practitioner (363LP1700X), and the practice location is in Sioux Falls, SD. The record was last updated on Oct 10, 2018.