Theresa Ann Backman, APRN, BC
Nurse Practitioner, Psych/Mental Health in Cleveland, OH. Individual provider (NPI-1).
NPI number1720127202
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720127202
- Entity type
- Individual (NPI-1)
- Name
- Ms. Theresa Ann Backman
- Credential
- APRN, BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | COA 08992-NP | OH | Yes |
Practice location
13422 Kinsman RdCleveland, OH 44120-4410
Phone 216-283-4400 · Fax 216-283-0119
Mailing address
23004 Chandlers LnUnit 110
Olmsted Falls, OH 44138-3272
Phone 440-260-9759 · Fax 440-260-9759
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