Individual
MACY URRUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104-4651
(605) 328-2663
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 333-5282
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001127
SD
363LF0000X
Family Nurse Practitioner
CP001127
SD
Other
Enumeration date
09/28/2016
Last updated
04/03/2025
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