EVELYN M PROVELL

RAPID CITY, SD
NPI1851347975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SD  CP000313)
Enumeration Date2006-05-26
Last Update Date2013-01-03
Business Address
-- EVELYN M PROVELL CNP
4150 FIFTH STREET
RAPID CITY, SD 57701
Phone number: 605-399-4300
Mailing Address
-- EVELYN M PROVELL CNP
353 FAIRMONT BLVD ATTEN MEDICAL STAFF SERVICES
RAPID CITY, SD 57701-6000
Phone number:
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