Individual
ALLISON FAYE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
114194
NE
363LF0000X
Family Nurse Practitioner
A161810
IA
363LF0000X
Family Nurse Practitioner
Primary
CP001962
SD
Other
Enumeration date
10/27/2020
Last updated
01/16/2023
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