NPI | 1457831497 |
---|---|
Entity Type | Organization |
Authorized Contact | GINGER H CONKLIN Owner/Cnp 605-725-4772 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001402) | |
Enumeration Date | 2018-08-20 |
Last Update Date | 2022-11-30 |