Individual
JANELLE VANDE GRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CPNP
Contact information
Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001879
SD
363LP0200X
Pediatric Nurse Practitioner
CP001879
SD
Other
Enumeration date
11/10/2020
Last updated
02/05/2021
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