Individual
TAMARA J. TOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1309 W 17TH ST, STE 101, SIOUX FALLS, SD 57104-8805
(605) 328-8000
(605) 328-8001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-8000
(605) 328-8001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 0366
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-25338
MEDICA
SD
01
—
4993693
WELLMARK SD AND IA
SD
05
—
6001032
—
SD
01
—
813T0DE
WELLMARK MINNESOTA
SD
01
—
9241672
DAKOTACARE
SD
Enumeration date
01/26/2006
Last updated
12/02/2009
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