Individual
ANGELA MARIE MACKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
201 S LLOYD ST STE W190, ABERDEEN, SD 57401-4509
(605) 225-0025
Mailing address
14319 385TH AVE, MANSFIELD, SD 57460-6910
(605) 380-0271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001250
SD
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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