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NPI Code Detail

MEDICARE: AMBER ELIASON NP

MEDICARE: AMBER ELIASON NP
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
1363L00000XNurse PractitionerCP002581SD

General Provider Information

NPI Number : 1326753732
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER ELIASON NP
Provider Business Mailing Address
First Line : 4417 S WASSOM AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-1983
Country : US
Telephone Number : 605-351-9630
Fax Number :
Provider Business Practice Location Address
First Line : 3401 S KELLEY AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-6300
Country : US
Telephone Number : 605-275-6128
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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