Healthcare Provider Details

I. General information

NPI: 1588034508
Provider Name (Legal Business Name): KARISSA GETTING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2015
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 HEGG DR
ROCK VALLEY IA
51247-1445
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 712-476-8100
  • Fax: 712-476-8190
Mailing address:
  • Phone: 605-328-6585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA126496
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: