Individual
MR. COLLIN ARNOLD MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
8808 W 22ND ST, SIOUX FALLS, SD 57106-5848
(605) 770-2885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R049685
SD
363L00000X
Nurse Practitioner
Primary
CP002137
SD
Other
Enumeration date
09/02/2021
Last updated
09/09/2021
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