AMANDA WORTMAN

EAGLE BUTTE, SD
NPI1972139095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SD  CP001742)
Enumeration Date2020-03-20
Last Update Date2020-06-29
Business Address
AMANDA WORTMAN FNP
24276 166TH ST, AIRPORT RD
EAGLE BUTTE, SD 57625-1012
Phone number: 605-964-7724
Mailing Address
AMANDA WORTMAN FNP
101 MERCURY ST
PIERRE, SD 57501-5672
Phone number: 605-939-9577
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