Individual
SAMUEL E NIEWENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, FNP
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-2000
Mailing address
2734 S AVONDALE CT, SIOUX FALLS, SD 57110-5618
(605) 290-4249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001899
SD
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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