Individual
NICOLE SEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5410 SHERIDAN LAKE RD, RAPID CITY, SD 57702-9208
(605) 348-4141
(605) 342-7880
Mailing address
5410 SHERIDAN LAKE RD, RAPID CITY, SD 57702-9208
(605) 348-4141
(605) 342-7880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5691
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994364
BCBS
SD
05
—
5611810
—
SD
01
—
P00262773
RR MEDICARE
SD
Enumeration date
05/28/2006
Last updated
12/15/2016
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