Individual
NICHOLAS HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4150 5TH ST, RAPID CITY, SD 57701-6022
(605) 755-4300
Mailing address
6853 E DAISY DR, BLACK HAWK, SD 57718-9842
(605) 951-1862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001583
SD
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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