Individual
STEPHANIE BORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1417 S CLIFF AVE, SIOUX FALLS, SD 57105-1022
(605) 322-3477
Mailing address
1316 S COATES RD, SIOUX FALLS, SD 57105-1229
(605) 521-2633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP002272
SD
Other
Enumeration date
01/21/2022
Last updated
02/03/2022
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