SHANNON LYNN BACKSTROM

SIOUX FALLS, SD
NPI1093787616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP1700X Nurse Practitioner, Perinatal
(Licence: SD  CP000442)
Enumeration Date2006-02-07
Last Update Date2018-10-10
Business Address
SHANNON LYNN BACKSTROM CNP
1417 S. CLIFF AVE. STE. 100
SIOUX FALLS, SD 57105-1063
Phone number: 605-322-8937
Mailing Address
SHANNON LYNN BACKSTROM CNP
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone number: 605-322-7510
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