Individual
COLLEEN CATHERINE DESMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-7905
Mailing address
5817 W KAREN DR, SIOUX FALLS, SD 57106-0674
(605) 359-4183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001695
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
SD
05
—
PENDING
—
SD
Enumeration date
11/05/2019
Last updated
03/17/2021
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