| NPI | 1356177240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN REDMOND Owner 605-261-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363LF0000X Nurse Practitioner Family | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |