Individual
MELISSA J MAGSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1028 29TH ST SE, WATERTOWN, SD 57201-9120
(605) 878-2888
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-7180
(605) 328-7177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R024532
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000236
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6825932
—
SD
Enumeration date
01/12/2006
Last updated
12/27/2022
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