Individual provider · Type 1 NPI

Holly Berryman Backe, CRNP

Nurse Practitioner · Decatur, AL

NPI number 1275166175 Active

Practice location

1216 Somerville Rd SE
Decatur, AL 35601-4335

Call (256) 340-0012 Map

Fax (256) 340-1408

Mailing address

2301 Dogwood Ln SE
Decatur, AL 35601-5317

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-139307 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1275166175

Holly Berryman Backe, CRNP's National Provider Identifier is 1275166175, issued on Feb 19, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Decatur, AL. The record was last updated on Mar 16, 2020.