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NPI Code Detail

MEDICARE: HAWAN SMALL CNP

MEDICARE: HAWAN SMALL 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 PractitionerA188245IA

General Provider Information

NPI Number : 1427911320
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAWAN SMALL CNP
Provider Business Mailing Address
First Line : 5600 S JOHN AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-2605
Country : US
Telephone Number : 605-391-8118
Fax Number :
Provider Business Practice Location Address
First Line : 5600 S JOHN AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-2605
Country : US
Telephone Number : 605-391-8118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ HAWAN SMALL CNP” Practice Location

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