Individual
TERESA M CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
100 MAC LN, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 945-5246
(605) 945-5295
Mailing address
100 MAC LN, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 945-5246
(605) 945-5295
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CP000526
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6830432
—
SD
Enumeration date
07/08/2008
Last updated
04/04/2012
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