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NPI Code Detail

MEDICARE: NICHOLE R KRIER APRN-CNP

MEDICARE: NICHOLE R KRIER APRN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerCP000943SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CP000943OTHERSDNURSE PRACTITIONER LICENSE

General Provider Information

NPI Number : 1417330879
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLE R KRIER APRN-CNP
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 S ELLIS RD
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-7067
Country : US
Telephone Number : 605-332-2883
Fax Number : 605-328-9001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2015
Last Update Date : 10/03/2023

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