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Individual

SARAH FODNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4928 N CLIFF AVE, SIOUX FALLS, SD 57104-0563
(605) 444-8820
(605) 444-8821
Mailing address
910 E 20TH ST, SIOUX FALLS, SD 57105-1012
(605) 444-8289
(605) 444-8431

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000985
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP000985
CNP LICENSE
SD
Enumeration date
09/25/2015
Last updated
05/09/2019
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