Organization · Type 2 NPI
Backroad Health Care
Family Nurse Practitioner · Walnut Hill, IL
NPI number
1467857086
Active
Practice location
7825A East Grant Road
Walnut Hill, IL 62893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209010715 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1467857086
Backroad Health Care's National Provider Identifier is 1467857086, issued on Oct 24, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Walnut Hill, IL. The record was last updated on Oct 24, 2014.