Individual
COLETTE KATHRYN GORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-C
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5474
(605) 342-3280
Mailing address
2749 W SAINT ANNE ST, RAPID CITY, SD 57702-4271
(605) 415-0239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP002733
SD
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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