Individual
JENNIFER A MENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000697
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5754730
—
SD
Enumeration date
04/09/2008
Last updated
07/31/2008
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