Individual provider · Type 1 NPI
Theresa A. Back, CNP
Nurse Practitioner · Columbus, OH
Practice location
1299 Olentangy River Rd
Columbus, OH 43212-3135
Fax (614) 566-6846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP08235 (OH) |
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 1336130277
Theresa A. Back, CNP's National Provider Identifier is 1336130277, issued on Oct 31, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, OH. The record was last updated on Jul 13, 2026.