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NPI Code Detail

MEDICARE: AMIAH BOOGERD RN

MEDICARE: AMIAH BOOGERD RN
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
1163W00000XRegistered NurseR056746SD

General Provider Information

NPI Number : 1457288441
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIAH BOOGERD RN
Provider Business Mailing Address
First Line : 4301 W 57TH ST STE 160
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-2288
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4301 W 57TH ST STE 160
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-2288
Country : US
Telephone Number : 605-740-0414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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Directions to “ AMIAH BOOGERD RN” Practice Location

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