Individual provider · Type 1 NPI

Amanda E. Backstrom

Student in an Organized Health Care Education/Training Program · Bridgewater, MA

NPI number 1710510862 Active

Practice location

131 Summer St
Bridgewater, MA 02325-0001

Mailing address

27 Birchwood Dr
East Taunton, MA 02718-1501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710510862

Amanda E. Backstrom's National Provider Identifier is 1710510862, issued on Feb 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgewater, MA. The record was last updated on Feb 18, 2020.