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Individual

TONYA R. VENHUIZEN MATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1301 S. CLIFF AVE, STE 601, SIOUX FALLS, SD 57105-1032
(605) 322-6930
(605) 322-6931
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000141
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427097260
ARAZ/AMERICA'S PPO
SD
01
255119
MIDLAND'S CHOICE
05
2920926
IA
01
370624200
DEPT OF LABOR
SD
01
40252
MEDICARE GROUP #
SD
01
407141053077
PREFERRED ONE
01
46L65VE
CC SYSTEMS/ BLUE PLUS
MN
01
4992678
BLUE CROSS
SD
01
57105W012
WPS TRICARE
SD
05
682443000
MN
05
6825863
SD
01
9237741
DAKOTACARE
SD
01
92411422905
PRIMEWEST
MN
01
HP94300
HEALTHPARTNERS
Enumeration date
06/06/2006
Last updated
10/16/2018
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