Healthcare Provider Details

I. General information

NPI: 1396938197
Provider Name (Legal Business Name): CARLETTA MARIE ABERLE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E 6TH ST
MCLAUGHLIN SD
57642-0879
US

IV. Provider business mailing address

701 E 6TH ST PO BOX 879
MCLAUGHLIN SD
57642-0879
US

V. Phone/Fax

Practice location:
  • Phone: 605-823-4458
  • Fax: 605-823-4470
Mailing address:
  • Phone: 605-823-4458
  • Fax: 605-823-4470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCP000506
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: