Individual provider · NPI-1

Elizabeth Backhaus, APRN, RN

Nurse Practitioner, Pediatrics · Saint Cloud, MN

NPI number1497283196
StatusActive
Last updated in NPPESOct 1, 2026

Details

NPI
1497283196
Entity type
Individual (NPI-1)
Name
Elizabeth Backhaus
Credential
APRN, RN
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2017
Certification date
Oct 1, 2026
Last updated
Oct 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics5366MNYes

Practice location

1900 Centracare Cir
Saint Cloud, MN 56303-5000

Phone 320-252-2422

Mailing address

1900 Centracare Cir
Saint Cloud, MN 56303-5000

Phone 320-252-2422

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