AMANDA E BACKSTROM
NPI 1710510862
Student in an Organized Health Care Education/Training Program in Bridgewater, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since February 18, 2020

131 SUMMER ST, BRIDGEWATER, MA 02325(774) 285-3479 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Amanda E Backstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA E BACKSTROM (NPI 1710510862) is an individual student in an organized health care education/training program in Bridgewater, Massachusetts and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1710510862

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAMANDA E BACKSTROM

Location Address131 SUMMER STBridgewater, MA 02325-0001

Mailing Address27 Birchwood DrEast Taunton, MA 02718-1501 · (774) 285-3479

Phone(774) 285-3479

Sole ProprietorYes

Enumeration DateFebruary 18, 2020

✔ NPI 1710510862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

131 SUMMER ST, Bridgewater, MA 02325

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