AMANDA LOUISE FELLBAUM

SIOUX FALLS, SD
NPI1083377584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: SD  CP002165)
Enumeration Date2021-10-21
Last Update Date2022-05-23
Business Address
AMANDA LOUISE FELLBAUM CNP
1112 S LAKE AVENUE SUITE 201
SIOUX FALLS, SD 57104
Phone number: 605-312-5350
Mailing Address
AMANDA LOUISE FELLBAUM CNP
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-312-5350
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