Individual provider · Type 1 NPI
Sara Deborah Back, FNP MPH
Family Nurse Practitioner · Bronx, NY
NPI number
1104811991
Active
Practice location
3424 Kossuth Ave, Rm #3H17
Bronx, NY 10467-2410
Fax (718) 519-2034
Mailing address
80 Lasalle St, 9C
New York, NY 10027-4713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F333271 (NY) |
Family Nurse Practitioner: Definition to come...
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- Silvia R. Mehmel, NPFamily Nurse Practitioner Bronx, NY NPI 1003188681
- Keisha A. Ballentine-Cargill, FNP-BCFamily Nurse Practitioner Bronx, NY NPI 1003235284
- Kauniko McCormick, RNFamily Nurse Practitioner Bronx, NY NPI 1003239831
- Cynthia JeanFamily Nurse Practitioner Bronx, NY NPI 1003278623
About NPI 1104811991
Sara Deborah Back, FNP MPH's National Provider Identifier is 1104811991, issued on Sep 17, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Jul 9, 2008.