Sandra Lee Back, RN is a
Registered Nurse based in Neillsville, Wisconsin. Sandra Lee Back is licensed to practice in Wisconsin (license number 152903) and her current practice location is
1402 Hewett St, Neillsville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 743-2497.
NPI number for Sandra Lee Back is 1679883433 and her current mailing address is 1402 Hewett St, Neillsville, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679883433.
Provider's Profile
| Full Name | Sandra Lee Back |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 1402 Hewett St, Neillsville, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679883433
- Provider Enumeration Date: 10/14/2010
- Last Update Date: 10/25/2010
Medical Identifiers
Medical identifiers for Sandra Lee Back such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679883433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 152903 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Lee Back is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sandra Lee Back, RN 1402 Hewett St, Neillsville, WI 54456 Ph: (715) 743-2497 | Sandra Lee Back, RN 1402 Hewett St, Neillsville, WI 54456 Ph: (715) 743-2497 |
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