Individual
MIRANDA A NYGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
511 14TH AVE NE, WATERTOWN, SD 57201-6811
(605) 886-8482
(605) 884-4332
Mailing address
506 1ST AVE SE, WATERTOWN, SD 57201-4499
(605) 886-8482
(605) 884-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1385
SD
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/19/2022
Last updated
09/07/2022
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