Individual
MICHELLE M VANDEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1205 S GRANGE AVE STE 201, SIOUX FALLS, SD 57105-0414
(605) 328-8188
(605) 328-8101
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-7180
(605) 328-7177
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CP000584
SD
Other
Enumeration date
04/13/2010
Last updated
03/30/2022
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