Healthcare Provider Details
I. General information
NPI: 1306515739
Provider Name (Legal Business Name): DANIELLE KARBER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/09/2021
Last Update Date: 09/10/2021
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US
IV. Provider business mailing address
8909 W DRAGONFLY DR
SIOUX FALLS SD
57107-3043
US
V. Phone/Fax
- Phone: 605-336-3230
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP2201X |
| Taxonomy | Ambulatory Care Registered Nurse |
| License Number | R041376 |
| License Number State | SD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | CP002138 |
| License Number State | SD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: