Individual
HEIDI WUSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 W 22ND ST STE 201, SIOUX FALLS, SD 57105-1507
(605) 328-9290
Mailing address
1420 W 22ND ST STE 201, SIOUX FALLS, SD 57105-1507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R058479
SD
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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