Individual
LEA RAE NIEDERBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3015 3RD AVE SE, ABERDEEN, SD 57401-5418
(605) 226-5500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP002226
SD
Other
Enumeration date
11/30/2021
Last updated
08/04/2022
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