Healthcare Provider Details

I. General information

NPI: 1003435579
Provider Name (Legal Business Name): JULIANA JOHNSON FERRI GUERRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANA GUERRA MD

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 W 18TH ST
SIOUX FALLS SD
57105-0401
US

IV. Provider business mailing address

1305 W 18TH ST
SIOUX FALLS SD
57105-0401
US

V. Phone/Fax

Practice location:
  • Phone: 605-328-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number16839
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: