ANDREA BACK RN
NPI 1225693856
Registered Nurse - Psychiatric/Mental Health in Dayton, OH
Active since May 09, 2019
About Andrea Back Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA BACK RN (NPI 1225693856) is an individual psychiatric/mental health provider in Dayton, Ohio, licensed in Ohio (RN248405) and active in the NPI registry since May 2019.
NPPES Registry Identity
NPI1225693856
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameANDREA BACKCredential: RN
Location Address25 THORPE DRDayton, OH 45420-1823
Mailing Address25 Thorpe DrDayton, OH 45420-1823 · (937) 457-2753
Phone(937) 258-1446
Sole ProprietorNo
Enumeration DateMay 9, 2019
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
✔ NPI 1225693856 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OH · RN248405
25 THORPE DR, Dayton, OH 45420
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225693856, enumerated as an "individual" on May 09, 2019.
The provider is located at 25 THORPE DR DAYTON, OH 45420 and the phone number is (937) 258-1446.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.
