Individual
STACY ANN VISKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP-C FNP MSN
Contact information
Practice address
1210 W 18TH ST, STE 100, SIOUX FALLS, SD 57104-9890
(605) 312-8500
(605) 312-8501
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000831
SD
363LF0000X
Family Nurse Practitioner
CP000831
SD
Other
Enumeration date
12/03/2013
Last updated
07/10/2019
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