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Individual

MRS. ALEXIS GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
CS004139
SD
364SG0600X
Gerontology Clinical Nurse Specialist
CS004139
SD

Other

Enumeration date
05/06/2025
Last updated
06/24/2025
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