LAURA AXSOM

MITCHELL, SD
NPI1417495649
Former NameLAURA PUDWILL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SD  CP001192)
Enumeration Date2017-02-08
Last Update Date2019-08-20
Business Address
LAURA AXSOM NP-C
1900 GRASSLAND DR
MITCHELL, SD 57301-6205
Phone number: 605-977-7000
Mailing Address
LAURA AXSOM NP-C
1900 GRASSLAND DR
MITCHELL, SD 57301-6205
Phone number: 605-977-7000