HEIDI ELIZABETH BACK

EAU CLAIRE, WI
NPI1023408028
Former NameHEIDI ELIZABETH CARTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: WI  148951)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WI  8339)
Enumeration Date2015-01-28
Last Update Date2024-01-25
Business Address
Ms. HEIDI ELIZABETH BACK CNM
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Phone number: 715-838-5222
Mailing Address
Ms. HEIDI ELIZABETH BACK CNM
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222