Individual
MS. PAULETTE SUSAN NANKIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5410 SHERIDAN LAKE RD, RAPID CITY, SD 57702-9208
(605) 348-4141
(605) 342-7880
Mailing address
5410 SHERIDAN LAKE RD, RAPID CITY, SD 57702-9208
(605) 348-4141
(605) 342-7880
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0102
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4995692
WELLMARK BCBS
SD
05
—
6001152
—
SD
Enumeration date
02/01/2006
Last updated
12/04/2009
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