Individual
STACY A OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
(605) 355-2500
Mailing address
678 YOSEMITE WAY, WHITEWOOD, SD 57793-3101
(605) 641-6978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
SD-RNR058496
SD
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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