Individual
KAREN M BORDEWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
(605) 977-7001
Mailing address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
(605) 977-7001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R018040
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008160
WELLMARK
SD
05
—
0551267
—
IA
05
—
5751750
—
SD
Enumeration date
09/19/2005
Last updated
01/30/2008
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