Individual
AMBER ROSE EGGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
22 WATERLOO ST, RAPID CITY, SD 57701-1656
(605) 718-4870
Mailing address
22 WATERLOO ST, RAPID CITY, SD 57701-1656
(605) 718-4870
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW508
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891823332
—
SD
Enumeration date
02/27/2023
Last updated
02/27/2023
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