Individual
SARAH M THU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R 152833-2
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
CP001876
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/20/2010
Last updated
06/29/2022
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