National Provider Identifier
Nicole S Backus
Nicole S Backus is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 703-8451.
Source: public NPPES record, last updated January 13, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1780224345
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 13, 2020
- Last Updated
- January 13, 2020
Practice Location
- 65 Magee Ave
- Rochester, NY 14613-1110
Phone: (585) 703-8451
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Nicole S. Backus is a Rochester-based licensed practical nurse. Public profiles also identify Nicole Simone Backus as the founder of Sunmoonrising Films, where her work has focused on community storytelling and abuse-awareness themes; she wrote, produced, and directed the short film A Friendship That Binds and has been featured by Rochester Woman Online for using film to address domestic violence awareness.
Full Record
- NPI
- 1780224345
- Entity Type
- Individual
- Last Name
- Backus
- First Name
- Nicole
- Middle Name
- S
- Mailing Street Address
- 65 Magee Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613-1110
- Mailing Country
- US
- Mailing Phone
- (585) 703-8451
- Practice Street Address
- 65 Magee Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613-1110
- Practice Country
- US
- Practice Phone
- (585) 703-8451
- Enumeration Date
- January 13, 2020
- Last Updated
- January 13, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)