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Individual

SANDRA LIMERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
(605) 347-7204
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
(605) 347-7204

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CP000351
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP000351
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP000351
CNP LICENSE NUMBER
SD
01
R032438
RN LICENSE
SD
Enumeration date
10/24/2006
Last updated
09/11/2025
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