Healthcare Provider Details

I. General information

NPI: 1073152617
Provider Name (Legal Business Name): KAYLA LYNNE PRASCH APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 W 69TH ST
SIOUX FALLS SD
57108-8148
US

IV. Provider business mailing address

4500 W 69TH ST
SIOUX FALLS SD
57108-8148
US

V. Phone/Fax

Practice location:
  • Phone: 605-977-7000
  • Fax:
Mailing address:
  • Phone: 605-977-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704342149
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: