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NPI Code Detail

MEDICARE: RACHEL KRAMER CNP

MEDICARE: RACHEL KRAMER CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerCP002649SD

General Provider Information

NPI Number : 1164137592
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL KRAMER CNP
Provider Business Mailing Address
First Line : 111 E 10TH ST
Second Line :
City : DELL RAPIDS
State : SD
Zip : 57022-1217
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 10TH ST
Second Line :
City : DELL RAPIDS
State : SD
Zip : 57022-1217
Country : US
Telephone Number : 605-428-5446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2023
Last Update Date : 01/19/2023

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