Individual
STEPHANIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2140 JUNCTION AVE, STURGIS, SD 57785-2358
(605) 720-2600
Mailing address
2325 CAMERON DR, RAPID CITY, SD 57702-4251
(605) 347-7860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001473
SD
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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