Individual
LAURA AXSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1900 GRASSLAND DR, MITCHELL, SD 57301-6205
(605) 977-7000
Mailing address
1900 GRASSLAND DR, MITCHELL, SD 57301-6205
(605) 977-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001192
SD
Other
Enumeration date
02/08/2017
Last updated
08/20/2019
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