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NPI Code Detail

MEDICARE: CHELSEA LAUREN DUPRE CNP

MEDICARE: CHELSEA LAUREN DUPRE 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianCP002095SD
2363L00000XNurse PractitionerCP002095SD
3363LP0808XPsychiatric/Mental Health Nurse PractitionerCP002095SD

General Provider Information

NPI Number : 1932874658
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA LAUREN DUPRE CNP
Provider Business Mailing Address
First Line : 405 E FAIRLANE DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7207
Country : US
Telephone Number : 605-513-5197
Fax Number : 605-513-5198
Provider Business Practice Location Address
First Line : 405 E FAIRLANE DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7207
Country : US
Telephone Number : 605-513-5197
Fax Number : 605-513-5198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2021
Last Update Date : 03/26/2026

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