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Individual

AMANDA MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
701 W BROAD AVE, FLANDREAU, SD 57028-1529
(605) 997-2642
(605) 997-9940
Mailing address
701 W BROAD AVE, FLANDREAU, SD 57028-1529
(605) 997-2642
(605) 997-9940

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000893
SD

Other

Enumeration date
10/14/2014
Last updated
03/08/2017
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