Individual
MRS. MICHELE R PROFETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2905 3RD AVE SE, ABERDEEN, SD 57401-5420
(605) 626-4600
Mailing address
2905 3RD AVE SE, ABERDEEN, SD 57401-5420
(605) 626-4600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R022496
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R022496
STATE NURSING LICENSE
SD
Enumeration date
05/21/2021
Last updated
05/21/2021
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