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NPI 1295459394

NPI 1295459394 : ELIZABETH STOKKE FNP-C : LAKE PARK, IA

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General NPI Number Information
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    NPI Number           |    1295459394
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH STOKKE FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2022
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    215 MARKET ST STE 2 
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    City                 |    LAKE PARK
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    State                |    IA
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    Zip                  |    51347-7706
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    Country              |    US
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    Telephone            |    712-324-6282
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    Fax                  |    712-324-6281
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5074 
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    City                 |    SIOUX FALLS
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    State                |    SD
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    Zip                  |    57117-5074
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    Country              |    US
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    Telephone            |    605-328-9419
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    A170449
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    License Number State |    IA
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    A170449
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    License Number State |    IA
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