Individual
RACHELLE COCKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 N 10TH ST, SPEARFISH, SD 57783-1532
(605) 717-8595
Mailing address
19214 BUCKBOARD CIR, BELLE FOURCHE, SD 57717-7263
(605) 210-2113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP00130
SD
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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