Individual
JANE C MUTSCHELKNAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
400 N HIAWATHA DR, CANTON, SD 57013-5800
(605) 987-4378
(605) 987-5844
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0251
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000254
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6823282
—
SD
Enumeration date
06/13/2005
Last updated
06/20/2017
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