Individual
NICOLE THERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1417 S CLIFF AVE STE 400A, SIOUX FALLS, SD 57105-1064
(605) 322-8946
Mailing address
3112 S 5TH AVE, SIOUX FALLS, SD 57105-5904
(605) 351-4207
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CM000094
SD
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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