Facts
- Status
- A
- Credential
- FNP-BC
- Type
- Individual
- Enumeration date
- 2021-01-05
- Last updated
- 2026-09-17
Specialties
Licenses
- License SD
- CP001929
Location
- Practice location
- 323 SW 10TH ST
- City
- MADISON SD
- Postal code
- 570423200
- Phone
- 605-256-6551
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.