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Individual

AMANDA JO DVANAJSCAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1200 N WEST AVE, SIOUX FALLS, SD 57104-1335
(605) 339-0420
Mailing address
1200 N WEST AVE, SIOUX FALLS, SD 57104-1335
(605) 339-0420

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP002320
SD
363LF0000X
Family Nurse Practitioner
CP002320
SD

Other

Enumeration date
03/01/2022
Last updated
10/17/2024
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