MARY DIANE BACKSTROM RN NPI 1568444628

NPI Information

  • NPI: 1568444628
  • Provider Name: MARY DIANE BACKSTROM, RN
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 1200 E COLUMBIA AVE
    COLVILLE, WA
    ZIP 99114
  • Phone: (509) 684-3701

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NPI Details

Mary Diane Backstrom, RN is a diabetes educator registered nurse in Colville, WA. Mary Diane Backstrom, RN NPI is 1568444628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 E COLUMBIA AVE
COLVILLE, WA
ZIP 99114-354
Phone: (509) 684-3701
Fax: (509) 684-5817

The enumeration date for this NPI number is 11/15/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes EducatorRN00130472WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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