Individual
NICOLE M HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
(605) 882-7819
Mailing address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
(605) 882-7819
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000698
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR000698
CRNA
SD
Enumeration date
04/16/2008
Last updated
04/16/2008
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