Individual
AMY NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
208 S MAIN ST, HOWARD, SD 57349-8813
(605) 772-4574
Mailing address
208 S MAIN ST, HOWARD, SD 57349-8813
(605) 772-4574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
SD
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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