Individual
ALISSA A ALBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1325 S CLIFF AVE, ANESTHESIA DEPT, SIOUX FALLS, SD 57105-1007
(605) 322-2796
Mailing address
PO BOX 5045, ATTN: PFS, PROV ENRLLMT, SIOUX FALLS, SD 57117-5045
(605) 322-2796
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRNA CR000720
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204539
—
IA
01
—
1124252648
WELLMARK BCBS-SD
—
05
—
1124252648
—
MN
05
—
46022474348
—
NE
05
—
5756340
—
SD
01
—
9280735
DAKOTACARE
—
01
—
P00846320
RAILROAD MEDICARE
SD
Enumeration date
05/12/2009
Last updated
01/31/2017
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