Healthcare Provider Details

I. General information

NPI: 1730974742
Provider Name (Legal Business Name): DARREL SCOTT ALVEY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

IV. Provider business mailing address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

V. Phone/Fax

Practice location:
  • Phone: 605-336-3230
  • Fax: 612-725-1281
Mailing address:
  • Phone: 605-336-3230
  • Fax: 612-725-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberR027444
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: